10A NCAC 09 .0304 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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 .0803 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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

NC GS 110-90 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 20 Completed Date: 10/15/2025 Age: From 1 To 4 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced and technical assistance 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 Emma Willard, office assistant, on site today. The new administrator, Lindsay Galileo; however, she was out sick today. 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 was greeted by Ms. Willard, and I explained the reason for today’s visit. She informed me that the director was out sick today. Ms. Willard began pulling new staff files as I began my walk-through of the facility. I observed children coming inside, washing hands, preparing for lunch and eating lunch. Children at this facility bring packed lunches from home. After lunch, children have rest time and some of the older children work in small groups with their teacher. The program does not provide transportation. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Pathways School, is current/active as 10/15/25. There were seven (7) new teachers at this facility, and I monitored those files today. There are twenty-eight (28) children enrolled and twenty (20) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) as of 10/15/25. The last annual compliance visit was 4/15/25. 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- Three-star license, effective 2/26/23. Permit Restrictions- Daytime care only, Children under 2 1/2 years old in rooms with direct exits only, no cooking allowed and meets enhanced space. The last fire drill was practiced on 9/16/25. A shelter-in-place drill was conducted on 8/27/25. The last playground inspection was on 9/21/25. The last fire inspection was 9/21/25. The last sanitation inspection was completed on 6/26/25 with four (4) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 7/13/24, without hazards. Lead paint testing and asbestos testing was completed on 9/30/25. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi pen was not in the box with the pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. Child’s medication did not have parent authorization with instructions for generic Zyrtec. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff I.F did not have a TB test or screening on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff S.G. did not have pediatric first aid certification. .1102(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Administrator has not taken the ABCMS training on Moodle and set up the staff roster. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *Administrator has not taken the ABCMS training on Moodle and set up the staff roster. Item #844 Prescribed medicine was not in original pharmacy labeled container. *An Epi pen was not in the box with the pharmacy label. Item #847 Parent's medication authorization did not include required information. *Child’s medication did not have parent authorization with instructions for generic Zyrtec. Item #1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. *Staff I.F did not have a TB test or screening on file. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. *Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. *Staff S.G. did not have pediatric first aid certification. Achieving Compliance: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. 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 October 29, 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 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: • 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. • 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. • 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). 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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 .1102 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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

NC GS 110-90 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 23 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 255 Time In: 10:15 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Jennifer Darcy, administrator, during the visit. An electronic signed copy of the visit summary was left on-site with to you. Jennifer Darcy, administrator, accompanied me during my walkthrough of the facility today. 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-two (92%) percentage as of 4/15/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of 4/15/25. Permit type – Three-star license, issued February 6, 2023. Special Services/Restrictions – Daytime care only, no cooking allowed in the building, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/16/24. The last fire drill was practiced on 4/4/25. The last emergency drill was practiced on 2/27/25. The last playground inspection was documented on 4/8/25. The last fire inspection was approved on 9/4/24. The last sanitation inspection was conducted on 6/12/24 with nine (9) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 3/15/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/13/24 without hazards. Lead paint and asbestos testing has not been completed. During Tropical Storm Helene, this facility/building was -closed from September 26th to February 3, 2025. The facility was at two temporary emergency sites from 10/30/24 to 1/31/25. Water came into the building approximately 8 inches high. All the walls 2 ½ feet of the bottom walls were replaced all flooring and sub flooring as well. Some materials were saved but all furniture and the majority of materials had to be replaced. They replaced the fencing and all the mulch and the HVAC systems. The parking lot had to be re-graded and graveled. During today’s visit children were on their way outside to play on the playgrounds. The playgrounds had all the new fencing as well and new mulch in the fall zones. The classrooms were freshly painted with new materials and furniture. They are still working to gain back materials with the help of donations and grants. At this facility all the children bring packed lunches and snacks from home. After playing outside, everyone came inside, washed hands for lunch and the younger children transitioned to rest time. Older children have afternoon work cycle where they work on more in-depth level one-on-one work with the teacher or small group work to do more kindergarten readiness work. After rest time children will have snacks and typically have group time or go outside before the dismissal at 3pm. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) children’s sunscreens were past the expiration date. .0803(12) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The signed acknowledgement that was on file for L.G. was over a year old. .0608(d)(1-4) 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. The completed training that was on file for L.G. was over a year old. .1102(g) Technical assistance was provided as follows: Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. *The signed acknowledgement that was on file for L.G. was over a year old. She signed a new copy today to correct this item. 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. *The completed training that was on file for L.G. was over a year old. Item #849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. *Two (2) children’s sunscreens were past the expiration date. Item #841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. *A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up. 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 April 29, 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. • Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. • The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • We discussed that over the counter medications needed to be locked up and that the expiration date on sunscreen (and all medication) should be checked monthly. • We discussed the rule of accepting training such as Recognizing and Responding to Child Maltreatment can’t be over a year old when they are hired. In today’s case the teacher was a re-hire. 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 .0803 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MOUNTAIN PATHWAYS SCHOOL Facility ID: 9555059 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 1 To 5 Total Minutes: 230 Time In: 10:20 AM Time Out: 02:10 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. Due to no service for connectivity, a typed visit summary was completed today , reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jenny Darcy, administrator. The computerized generated report of today’s visit was completed off site and electronically emailed to Ms. Darcy. Upon my arrival I greeted the director and assistant director and explained the reason for my visit. I was accompanied by Jenny Darcy, administrator and Taylor Dillard, assistant director on my walkthrough of the facility. We began in the pre-primary west room. The children were outside playing on the playground. One child and a teacher was inside so the child could use the potty. Outside I observed children playing with balls, trucks and other outdoor materials. In the primary east classroom, the children were also outside climbing and sliding, digging and playing with outside materials. The last classroom was the primary classroom who was also outside playing on the playground. These children were swinging, playing in the sandbox and climbing on the large climbing structure. We discussed that when the mulch is frozen, that children can’t climb or use anything that required a fall zone and surfacing since that surfacing is hard and would not protect a child if they were to fall. In this facility, all children bring a packed lunch from home. There were five (5) new teachers at this facility today, so no staff files were monitored today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Pathways School, is current/active as of today, 2/21/24. 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- Three (3) star license issued February 6, 2023. Permit Restrictions- Daytime care only, no cooking in the building, enhanced space and children under 2 ½ years old in rooms with direct exit only. The playground inspection was completed on 2/19/24. The last fire drill was practiced on 2/19/24. An emergency drill was conducted on 2/6/24. The last fire inspection was 9/5/23. The last sanitation inspection was completed on 12/4/23 with twenty-four (24) demerits for an approved rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Emergency Preparedness and Response Plan was last updated on 11/21/23. The curriculum that is followed is the Montessori Philosophy. 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. GS 110-91(6); .0605((i) 843 A drug or medicine was administered after its expiration date. An epi pen was expired, however the medication hasn’t ever had to be administered. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Medium pom-poms were used in an activity area in both pre-primary classrooms. .0604(q) 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. Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. .0901(i) Technical assistance: Item #824 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 fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height. Item #843 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; (c) in any manner not authorized by the child's parent, physician or other health professional; (d) after its expiration date; (e) for non-medical reasons, such as to induce sleep; or (f) with a known allergy to the medication. Note: An epi pen was expired, however the medication hasn’t ever had to be administered. Item # 1792 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: Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container. Item #858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Note: Medium pom-poms were used in an activity area in both pre-primary classrooms. 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 6, 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: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: • We discussed burying the tires and making sure they are checked upon entering the play space to make sure no bees nests or snakes are hiding inside. • We discussed that when the mulch is frozen it is as if there isn’t any surfacing and it wouldn’t protect a child if they were to fall. • We talked about the possibility of adding a slide on the primary east playground on the hill to help with erosion and to prevent children from falling off the ledge. • We discussed that diaper creams do not have to be locked unless they are prescribed by a doctor. They can be stored five (5) feet high. However, you can keep locking them if you wish. • We discussed the sizes of the pom-poms in the two (2) pre-primary classrooms where children are under three years of age. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times