10A NCAC 09 .0604 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 14 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 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 Misty Prichard, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent as of 10/21/25. This facility is owned and operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five-star license issue on April 13, 2018. Special Services/Restrictions – Daytime care only, Meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/10/24. The last fire drill was practiced on 8/28/25. A lock down drill was practiced on 8/27/25. The last playground inspection was documented on 10/1/25. The last fire inspection was approved on 8/26/25. The last sanitation inspection was conducted on 9/23/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 6/4/25 without hazards. Lead paint and asbestos enrollment has been started but no results are available in the system. Upon arrival, I checked in at the front office. past their new playground. I walked to the pre-k classroom where children were playing in centers. Children were busy exploring a variety of materials in all the centers. The lead teacher was conducting observations and photo documentation as she mingled around the classroom. After cleaning up, the children gathered on the large rug for a short transition to prepare to go to lunch. Children lined up to walk to the cafeteria. Everyone washed hands at a sink in the cafeteria before going through the line. Teachers assisted the children in opening their milk if they needed help. After lunch children came back, washed their hands and gathered back at the large rug for group activities. Since there is a wind advisory today, they did yoga and other gross motor activities inside today. Children transitioned to their cots for rest time. Lunch today consisted of mozzarella sticks (three choose grilled cheese and three chose peanut butter and jelly, marinera sauce, broccoli, pineapples and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport three (3) preschool children to and from school. 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 not reviewed today. The Monitoring tool hasn’t been completed yet since school just started. Two (2) children’s files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers’ desk (1). 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. .2820(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. .1102(g) Technical assistance was provided as follows: Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. *Staff AA, completed this training on 12/23/24, however it was due on or before 12/15/25. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *When walking to the cafeteria for lunch, the children walked by the janitors cleaning cart which had cleaning materials on it that are toxic. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. *Electrical outlet cover was missing in cafeteria (1), hallway (1) and near teachers desk (1). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 5, 2025. 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: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). If you have questions about which pathway you want to pursue, please feel free to reach out to me. • We discussed the easel attached to the building outside needs to be more secure and it has clips at the top that are starting to rust and need to be removed. • We discussed adding carabiners to the gates (as long as the fire inspector is okay with that) to ensure that children can’t open the gates. • We discussed the protective strip around the AC unit outside needs to be replace or secured. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0601 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/13/2025 Number Present: 12 Completed Date: 3/13/2025 Age: From 3 To 5 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 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. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Misty Prichard, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I greeted Ms. Prichard and explained the reason for my visit. Children were playing in centers as well as going to the bathroom washing hands and telling the teachers about their drawings so they could document on it and add their name. Children cleaned up and joined the group for a large gross motor activity of singing/dancing. Once everyone had cleaned up and they were ready, they lined up and walked to the cafeteria for lunch. One they arrived in the cafeteria they washed hands and went through the line to pick up their lunch. At this time, they were the only class in the cafeteria. Teachers helped children open milks if they asked. Teachers sat with the children and ate their own lunch while having conversations with the children. When they returned to the classroom, they went straight outside. Lunch today consisted of orange chicken (most children didn’t want the orange sauce on their chicken), brown rice with peas/carrots, mixed vegetables or steamed carrots (child’s choice) and raisins. This facility is owned and operated by the Watauga County Schools and housed in Green Valley Elementary School. There were no new teachers at this facility. There are fifteen (15) children enrolled and twelve (12 ) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 3/12/25. The last annual compliance visit was 12/10/24. 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 Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/13/18. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 3/3/25. A lock down drill was conducted on 2/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 11/26/24 with two (2) 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. .2820(b) Technical assistance: 15A NCAC 18A .2820 STORAGE All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *An unopened bag of potting soil was sitting in the floor of the classroom. The bag stated “keep out of reach of children”. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. *There is a tall pink shelf for dress up items. It is half on a rug which may make it more unsteady, but it may be the height and the legs that are making it unsteady. 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 March 27, 2025. 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 is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Please be reminded that when the ground is frozen, children should not be on the climbers due to the surfacing being compromised. • We discussed that the summary of the law that is posted needs to be updated to the current version. • We discussed that gloves need to be worn when opening children’s milk. • We discussed that three (3) children went through the lunch line but did not get any vegetable. Each child needs to choose two (2) vegetables or one (1) vegetable and a fruit. The teacher stated that they know that is the rule and she wasn’t sure what happened today. • Children when through the lunch line and most of them touched a toy M&M toy at the end of the line. The teacher stated that she has told them they can’t do that because they just washed hands and that spreads germs. • There is a new wooden playhouse inside that was supposed to be for the playground. Someone put it together inside and now it will have to be partially dismantled to get it through the door to the playground. Inside or outside this playhouse will need close supervision by the teachers. When outside, I would suggest that a teacher be stationed nearby to supervise. • There is one bus driver whose first aid/CPR will expire at the end of this month (March 29, 2025). • There are several others that will need to renew first aid/CPR between June and August of 2025. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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 .0802 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 13 Completed Date: 12/10/2024 Age: From 3 To 5 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp 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 Misty Prichard, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Prichard 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. This visit was delayed due to Tropical Storm Helene and the closure of schools. 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-one percentage (91%) as of 12/9/24. This facility is owned by Watauga County Schools and is housed in Green Valley Elementary School. This is an NC-Pre-K classroom. Permit type – Five-star license issued April 13, 2018. 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 10/17/24. The last fire drill was practiced on 11/26/24. The last lock down drill was practiced on 11/6/24. The last playground inspection was documented on 12/4/24. The last fire inspection was approved on 8/29/24. The last sanitation inspection was conducted on 11/26/24 with two (2) demerits for a superior classification. The Emergency Preparedness Plan was current. This facility follows the Emergency Plan for Watauga County Schools. The Emergency Medical Care plan was posted but not 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 arrived at the Pre-k classroom, I introduced myself and the purpose of today’s visit. Children were busy playing in centers. Ms. Prichard stated that she had three (3) new students that started yesterday so they were exploring and learning the rules of the group care environment. Ms. Amaro, teacher Assistant, was working with small groups of children at the table on a special holiday art project. Children were instructed to clean up to prepare for lunch. They lined up and walked to the cafeteria where they washed hands with assistance and then went through the line based on the food choice for today. Lunch today consisted of pizza sticks with marinara sauce, mixed vegetables or peaches and milk. Children also had a choice of a peanut butter and jelly or grilled cheese sandwich. The cafeteria staff clean and sanitize the tables prior to the children arriving. Today they were the only group in the cafeteria due to the kindergarten classes being on a field trip. The children seemed to do exceptionally well with the eating in the cafeteria and going through the line, especially with three (3) new children and two children being only three-years old. After lunch, children walked back to the classroom and put on their coats to go outside for gross motor play. Outside children were riding on trikes, playing in the playhouse, climbing, running and digging in the dirt. After returning inside, the children went to the bathroom and washed hands. They joined Ms. Prichard on the group rug for story time. Cots were put out by Ms. Amaro during this time. Children got on their cots to settle down for rest time. Teachers walked around to children who needed help to relax. 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. 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 for the 24/25 school year (dated 9/18/24). Two children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 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 therapist today was doing an evaluation and her CBC had recently expired. G.S. 110-90.2(b) & .2703(n)&(o) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. .0802(b)(1-2) Technical assistance was provided as follows: Item # 1044 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (o) 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. *Speech therapist that take children out of the classroom must have a current CBC/qualifying letter. The therapist today was doing an evaluation and her CBC had recently expired. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; *The emergency medical care plan that is posted doesn’t have the name change of the current teacher assistant. 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 December 24, 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 along with children. This includes therapist and bus drivers. • We discussed that the new teacher assistant can’t transfer her Health and Safety Trainings. The Recognizing and Responding to Child Maltreatment is due by December 22, 2024 in order to be within her 90-day time period. • We discussed the fact that the teacher assistant now needs 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • Make sure that all children’s water bottles are labeled. • In your emergency binder, it would be a good idea to add the child’s picture to their application sheet. • 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 .0605 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 14 Completed Date: 4/19/2024 Age: From 4 To 5 Total Minutes: 755 Time In: 00:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct a follow-up visit to verify compliance of violations documented during a routine unannounced conducted on March 19, 2024. The lead teacher, Misty Prichard was available to assist with questions during the visit. Today was Kindergarten orientation. Since there were no Kindergarten children at school today, the Pre-k class got to eat lunch in the cafeteria. The violations documented on March 19, 2024 were monitored and discussed as follows: For items #608 and 1792, a letter from Ms. Prichard was emailed the afternoon of 3/19/24 (that same day) correcting those violations. In that email, Ms. Prichard stated that she had sent an email to the director of maintenance requesting the fence height needing to be taller to correct the violation, item #824. During today’s visit, I observed children during outside play, hand washing, large group, lunch and rest time. Children were learning about bugs this week and was very interested in the spider hanging in the door to the playground and what it had caught in the web. It had rained this morning and the children found worms while outside. Since they were curious about worms and asking what they eat, they decided they would learn about worms next week. Lunch today consisted of pizza (some chose peanut butter and jelly or grilled cheese), salad, orange slices and milk. Six children brought a packed lunch from home. There was a new, long-term substitute present today and I monitored her file. The following violations were documented during today’s visit: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The lower corner of the fence on the playground near the sandbox measure 3 feet 9 inches instead of the required four (4) feet. This is a repeat violation. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 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 lower corner of the fence on the playground near the sandbox measure 3 feet 9 inches instead of the required four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. This is a violation that has been corrected in the past, but the fence is still sinking. During today’s visit I met on the playground with Mr. Prince, principal/program administrator, and Mr. William, custodian Mr. Prince stated that they are in the process of replacing the whole fence with a six (6) foot fence and extending the playground to make it bigger. They were told that the fence would arrive mid-April (which is now), but now they are being told it will arrive within the next two (2) weeks. During today’s visit, Mr. William found a roll of wire fence that measures five (5) feet and he called maintenance to have them come over today to secure it to the outside of the existing fence. This will correct the violation temporarily until the new fence arrives. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 3, 2024. 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: 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. Please call me at 828-434-0236, lee.marshall@dhhs.nc.gov or email my supervisor bonnie.mathis@dhhs.nc.gov, if you need assistance. 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.

GS 110-91 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 14 Completed Date: 4/19/2024 Age: From 4 To 5 Total Minutes: 755 Time In: 00:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct a follow-up visit to verify compliance of violations documented during a routine unannounced conducted on March 19, 2024. The lead teacher, Misty Prichard was available to assist with questions during the visit. Today was Kindergarten orientation. Since there were no Kindergarten children at school today, the Pre-k class got to eat lunch in the cafeteria. The violations documented on March 19, 2024 were monitored and discussed as follows: For items #608 and 1792, a letter from Ms. Prichard was emailed the afternoon of 3/19/24 (that same day) correcting those violations. In that email, Ms. Prichard stated that she had sent an email to the director of maintenance requesting the fence height needing to be taller to correct the violation, item #824. During today’s visit, I observed children during outside play, hand washing, large group, lunch and rest time. Children were learning about bugs this week and was very interested in the spider hanging in the door to the playground and what it had caught in the web. It had rained this morning and the children found worms while outside. Since they were curious about worms and asking what they eat, they decided they would learn about worms next week. Lunch today consisted of pizza (some chose peanut butter and jelly or grilled cheese), salad, orange slices and milk. Six children brought a packed lunch from home. There was a new, long-term substitute present today and I monitored her file. The following violations were documented during today’s visit: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The lower corner of the fence on the playground near the sandbox measure 3 feet 9 inches instead of the required four (4) feet. This is a repeat violation. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #.0824 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 lower corner of the fence on the playground near the sandbox measure 3 feet 9 inches instead of the required four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. This is a violation that has been corrected in the past, but the fence is still sinking. During today’s visit I met on the playground with Mr. Prince, principal/program administrator, and Mr. William, custodian Mr. Prince stated that they are in the process of replacing the whole fence with a six (6) foot fence and extending the playground to make it bigger. They were told that the fence would arrive mid-April (which is now), but now they are being told it will arrive within the next two (2) weeks. During today’s visit, Mr. William found a roll of wire fence that measures five (5) feet and he called maintenance to have them come over today to secure it to the outside of the existing fence. This will correct the violation temporarily until the new fence arrives. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 3, 2024. 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: 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. Please call me at 828-434-0236, lee.marshall@dhhs.nc.gov or email my supervisor bonnie.mathis@dhhs.nc.gov, if you need assistance. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0605 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/19/2024 Number Present: 10 Completed Date: 3/19/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 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. Green Valley Elementary Pre-k operates with a Five (5) Star Rated License issued to Watauga County Schools, on 4/13/18. Misty Prichard, lead teacher, assisted me today during the visit. The program’s annual compliance visit was conducted on 10/17/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom of four and five- year old children. When I arrived, I observed two (2) children in the block center building with hollow blocks. There were three (3) children dressing up and engaging in pretend play in the housekeeping area. Other children were playing at the lego table, creating art with markers and other items during this free play time. Two (2) children were out of the room with the EC teacher and six (6) children were absent today. Ms. Prichard stated that there had been a lot of sickness in the classroom recently. Once materials were cleaned up, children gathered on the large rug for a music and movement activity. Group time activities were brief, and children were engaged. The school provides a third (3rd) teacher during difficult times so that the assistant teacher can go get lunch from the cafeteria. Children were individually called to go wash their hands for lunch. After lunch and bathroom break, children went outside to play on the playground. I discussed with Ms. Prichard that the mulch was frozen today, therefore the climber was off limits. The sun doesn’t shine on their playground until mid-day. Children returned to the classroom, put away coats and washed hands. Children gathered on the large rug for story time while Ms. Combs, teacher assistant, put out the cots for rest time. Children settled down with blankets and stuffed animals for rest time. All caregiving interactions were positive and nurturing. The lunch today was a Dutch waffle, scrambled egged, sausage pattie, tater tots, slices frozen strawberries and milk. Four (4) children had a packed lunch from home. Three (3) children chose a peanut butter and jelly sandwich and two (2) chose a grilled cheese. I monitored an epi pen and an inhaler during today’s visit. Both were in compliance and located in the emergency bag that is hanging on a hook by the back door (above five [5] feet) and worn outside when on the playground. There has been no new staff hired since the last annual compliance visit. The last fire drill was practiced on 2/15/24. The last emergency drill, lock down drill, was practiced on 2/15/24. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 8/25/23, with five (5) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. 15A NCAC 18A .2803(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. GS 110-91(6); .0605((i) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. .0901(i) Technical Assistance for Correction Plan: Item #.0608 15A NCAC 18A .2803 HANDWASHING (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Note: Two (2) children that were out of the room for EC services, did not wash hands when they returned to the classroom. Item #.0901 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: A teacher was drinking a soda/sparkling water in the can. There was a bottle of raspberry tea sitting on the teacher’s desk. Item #.0824 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 two (2) lower corners of the fence on the playground is just under four (4) feet. The more it rains, the lower the fence will get when it washes down the hill. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 04/02/24. 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. Consultation: Today, we discussed the following: • We discussed that when the mulch is frozen, climbers need to be off limits. • We discussed that the calm corner/cube is a great idea, especially for children enrolled this year. However, we discussed the importance of supervision and teachers being placed to where they could still see the child in the cube. • It would be good if the center could have a couple of extra coats, hats, gloves… in case children come without theirs. • I noticed that some of the CBC’s will need to be renewed this fall as well as some first aid and CPR certifications. • We discussed the importance of having the medication permission and action plan with the medication. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. 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. 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 Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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 .0604 · Violation

Name of Operation: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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: GREEN VALLEY ELEMENTARY PRESCHOOL Facility ID: 95000095 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/17/2023 Number Present: 12 Completed Date: 10/17/2023 Age: From 4 To 4 Total Minutes: 315 Time In: 09:45 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 Misty Prichard, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Prichard assisted me during today’s visit and answered my questions. 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 10/16/23. This facility is operated by Watauga County Schools and housed in Green Valley Elementary School. Permit type – Five (5) star license, issued April 13, 2018. Special Services/Restrictions – Daytime care only, Meeting Reduced Ratios and enhances space. The last annual compliance visit was conducted on 11/02/22. The last fire drill was practiced on 10/16/23. The last lock down drill was practiced on 9/6/23. The last playground inspection was documented on 10/5/23. The last fire inspection was approved on 8/23/23. The last sanitation inspection was conducted on 8/25/23 with five (5) 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. Today when I arrived, the children were playing in centers. They were working on pumpkins, playing in the fall sensory bin and other various activities. The children washed hands and prepared for lunch. Lunch today consisted of chicken tenders, baked beans, tropical fruit, roll and milk. Children have a choice of peanut butter and jelly or grilled cheese. Four (4) children packed a lunch from home. After lunch, children went outside to play on the playground. Once the children came in from outside and washed hands, they prepared for rest time. Once rest time was over, the children got up and ate a snack before going home for the day. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children. I monitored one bus today. Two busses transport this age group but the other bus was parked in a different lot. 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 has been started but was not finished for me to reviewed today. The site monitoring tool is due 10/31/23. Two (2) children files were monitored today. The classroom operates from 7:15 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 823 Toxic plants were accessible to children. Poison Ivy/Oak, is growing through the fence on the playground. .0604(l) 1041 Prior to employment a Criminal Background Check was not completed. JW did not complete a background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. JW did not have a qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 9995 A violation was found for which there is no item number. Hand sanitizer was sitting on the teachers desk instead of out of reach of children (5 feet up or more). Technical assistance was provided as follows: Item #.9995 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Hand sanitizer was sitting on the teachers desk instead of out of reach of children Item #.0823 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. Note: Poison Ivy/Oak, is growing through the fence on the playground. 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: JW did not have a qualifying letter on file. Item: #.1041 110-90.2. Mandatory child care providers' criminal history checks (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: JW did not complete a background check prior to employment. 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 October 31, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall 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: • We discussed that you may need to get a new thermometer for the refrigerator. It was running a little warm today, but there were several lunch boxes too. • We discussed that this facility is in cohort 1 for the star rated license. We discussed that they can get assessed as a practice run. • We discussed the behavior hotline since she has several this year with higher needs. • The fence is running at barely four (4) feet. It would be a great idea to zip tie a strip of lattice extended it a few feet to allow for the ground to settle. 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