10A NCAC 09 .0803 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 8/4/2025 Number Present: 55 Completed Date: 8/4/2025 Age: From 6 To 12 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Marvin Foronda, Program Coordinator. 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 checked in at the front office and proceeded to the cafeteria where I greeted Mr. Foronda, Program Coordinator, and explained the reason for today’s visit. When I arrived there was one group of children in the cafeteria participating in art. They were coloring and drawing with colored pencils and markers. The second group of children were participating in indoor gross motor games and activities. The third group was transitioning out of the “game room” where there were a variety of games for them to choose from and the fourth group was outside on the playground. Each group rotates each day so that each group gets adequate time in each area. This facility is a licensed after school program during the school year. They run a summer program at one facility at the beginning of the scummer and then move to another facility for the last part of the summer. Last week when I came, they were on a field trip. This is the last week of summer camp before school starts. During the first half of the summer, meals were provided by the cafeteria, however at this facility, children are packing lunches. There are seven (7) staff in total. All of these group leaders are group leaders in the other schools so they are not new. There are sixty-nine (69) children enrolled and fifty-five (55) present today. 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 This program does provide transportation for field trips. Children and group leaders are transported on a public-school activity bus. License Posted- Five-star license issued September 11, 2018. Permit Restrictions- Daytime care only, school age children only, meeting reduced ratios, Playground area does not meet Child Care Playground Safety Standards, Meets enhanced space. A fire drill has not been practiced at this site since they just moved here last week and this is the last week of camp. An emergency drill has not been practiced at this site since they just moved here last week and this is the last week of camp. The last fire inspection was 8/27/24 The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current for summer. The incident log is in use and maintained. The following violations were documented during today’s visit: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. 10A NCAC 09 .0803(1)(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child who had an inhaler, did not have a medical action plan. .0801(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. .0802(b)(1-2) Technical assistance: Item #843 A drug or medicine was administered after its expiration date. *An child’s epi pen expired June 2025 and inhaler expired August 2025, however the prescription label on the box said April 2025 for both medications. Item #1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. *A child who had an inhaler, did not have a medical action plan. Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *The emergency medical care plan that was posted was from the school year and did not reflect the summer staff. 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 August 18, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you 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 level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 36 Completed Date: 5/27/2025 Age: From 5 To 12 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator/group leader. 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 signed in at the front office. Upon entering the cafeteria, I greeted Ms. Grubb and the other group leaders. I explained the reason for today’s visit. The cafeteria was set up into stations. Rugs were placed in areas with floor chairs, books, pillows and manipulative toys. There was an art table as well as dramatic play and blocks. After snack, the older kids had jobs to help sweep and clean off the tables. The younger group had a bathroom break and it was staggered until everyone had made the rounds to the bathroom and then outside. I monitored the indoor and outdoor environments. The license has a restriction that the playground area does not meet child care safety standards, however I still monitor for hazards. Today, outside time was cut short to also have time in the gym, since it was cold, foggy and drizzling rain. Today’s snack consisted of cereal bar and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 5/23/25. This facility is owned and operated by Watauga County Schools and housed in Parkway Elementary School. There was one new group leader (R.W.) and a sub that was also new (A.F.). I monitored those two (2) files during today’s visit. There are fifty (50) children enrolled and thirty-six (36) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/13/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective September 11, 2018. Permit Restrictions- Daytime care only, school-age children only, playground does not meet child care playground standards, meets reduced ratios and enhanced space. The last fire drill was practiced on 5/20/25. A shelter in place drill was conducted 5/22/25. The last fire inspection was 8/27/24. The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current. Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. *I can see that the sample kit has been shipped to the facility. Lead paint and asbestos testing has not yet been completed. *I can see that enrollment has been started bee this process. The following violations were documented during today’s visit: Violation Number Comment Rule 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. At least one of the people listed on the plan no longer works here. .0802(b)(1-2) Technical assistance: Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *At least one of the people listed on the plan no longer works here. The plan should be updated. 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 June 10, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 36 Completed Date: 5/27/2025 Age: From 5 To 12 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator/group leader. 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 signed in at the front office. Upon entering the cafeteria, I greeted Ms. Grubb and the other group leaders. I explained the reason for today’s visit. The cafeteria was set up into stations. Rugs were placed in areas with floor chairs, books, pillows and manipulative toys. There was an art table as well as dramatic play and blocks. After snack, the older kids had jobs to help sweep and clean off the tables. The younger group had a bathroom break and it was staggered until everyone had made the rounds to the bathroom and then outside. I monitored the indoor and outdoor environments. The license has a restriction that the playground area does not meet child care safety standards, however I still monitor for hazards. Today, outside time was cut short to also have time in the gym, since it was cold, foggy and drizzling rain. Today’s snack consisted of cereal bar and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 5/23/25. This facility is owned and operated by Watauga County Schools and housed in Parkway Elementary School. There was one new group leader (R.W.) and a sub that was also new (A.F.). I monitored those two (2) files during today’s visit. There are fifty (50) children enrolled and thirty-six (36) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/13/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective September 11, 2018. Permit Restrictions- Daytime care only, school-age children only, playground does not meet child care playground standards, meets reduced ratios and enhanced space. The last fire drill was practiced on 5/20/25. A shelter in place drill was conducted 5/22/25. The last fire inspection was 8/27/24. The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current. Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. *I can see that the sample kit has been shipped to the facility. Lead paint and asbestos testing has not yet been completed. *I can see that enrollment has been started bee this process. The following violations were documented during today’s visit: Violation Number Comment Rule 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. At least one of the people listed on the plan no longer works here. .0802(b)(1-2) Technical assistance: Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *At least one of the people listed on the plan no longer works here. The plan should be updated. 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 June 10, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 36 Completed Date: 5/27/2025 Age: From 5 To 12 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator/group leader. 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 signed in at the front office. Upon entering the cafeteria, I greeted Ms. Grubb and the other group leaders. I explained the reason for today’s visit. The cafeteria was set up into stations. Rugs were placed in areas with floor chairs, books, pillows and manipulative toys. There was an art table as well as dramatic play and blocks. After snack, the older kids had jobs to help sweep and clean off the tables. The younger group had a bathroom break and it was staggered until everyone had made the rounds to the bathroom and then outside. I monitored the indoor and outdoor environments. The license has a restriction that the playground area does not meet child care safety standards, however I still monitor for hazards. Today, outside time was cut short to also have time in the gym, since it was cold, foggy and drizzling rain. Today’s snack consisted of cereal bar and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 5/23/25. This facility is owned and operated by Watauga County Schools and housed in Parkway Elementary School. There was one new group leader (R.W.) and a sub that was also new (A.F.). I monitored those two (2) files during today’s visit. There are fifty (50) children enrolled and thirty-six (36) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/13/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective September 11, 2018. Permit Restrictions- Daytime care only, school-age children only, playground does not meet child care playground standards, meets reduced ratios and enhanced space. The last fire drill was practiced on 5/20/25. A shelter in place drill was conducted 5/22/25. The last fire inspection was 8/27/24. The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current. Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. *I can see that the sample kit has been shipped to the facility. Lead paint and asbestos testing has not yet been completed. *I can see that enrollment has been started bee this process. The following violations were documented during today’s visit: Violation Number Comment Rule 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. At least one of the people listed on the plan no longer works here. .0802(b)(1-2) Technical assistance: Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *At least one of the people listed on the plan no longer works here. The plan should be updated. 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 June 10, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 36 Completed Date: 5/27/2025 Age: From 5 To 12 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator/group leader. 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 signed in at the front office. Upon entering the cafeteria, I greeted Ms. Grubb and the other group leaders. I explained the reason for today’s visit. The cafeteria was set up into stations. Rugs were placed in areas with floor chairs, books, pillows and manipulative toys. There was an art table as well as dramatic play and blocks. After snack, the older kids had jobs to help sweep and clean off the tables. The younger group had a bathroom break and it was staggered until everyone had made the rounds to the bathroom and then outside. I monitored the indoor and outdoor environments. The license has a restriction that the playground area does not meet child care safety standards, however I still monitor for hazards. Today, outside time was cut short to also have time in the gym, since it was cold, foggy and drizzling rain. Today’s snack consisted of cereal bar and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 5/23/25. This facility is owned and operated by Watauga County Schools and housed in Parkway Elementary School. There was one new group leader (R.W.) and a sub that was also new (A.F.). I monitored those two (2) files during today’s visit. There are fifty (50) children enrolled and thirty-six (36) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/13/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective September 11, 2018. Permit Restrictions- Daytime care only, school-age children only, playground does not meet child care playground standards, meets reduced ratios and enhanced space. The last fire drill was practiced on 5/20/25. A shelter in place drill was conducted 5/22/25. The last fire inspection was 8/27/24. The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current. Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. *I can see that the sample kit has been shipped to the facility. Lead paint and asbestos testing has not yet been completed. *I can see that enrollment has been started bee this process. The following violations were documented during today’s visit: Violation Number Comment Rule 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. At least one of the people listed on the plan no longer works here. .0802(b)(1-2) Technical assistance: Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *At least one of the people listed on the plan no longer works here. The plan should be updated. 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 June 10, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 36 Completed Date: 5/27/2025 Age: From 5 To 12 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator/group leader. 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 signed in at the front office. Upon entering the cafeteria, I greeted Ms. Grubb and the other group leaders. I explained the reason for today’s visit. The cafeteria was set up into stations. Rugs were placed in areas with floor chairs, books, pillows and manipulative toys. There was an art table as well as dramatic play and blocks. After snack, the older kids had jobs to help sweep and clean off the tables. The younger group had a bathroom break and it was staggered until everyone had made the rounds to the bathroom and then outside. I monitored the indoor and outdoor environments. The license has a restriction that the playground area does not meet child care safety standards, however I still monitor for hazards. Today, outside time was cut short to also have time in the gym, since it was cold, foggy and drizzling rain. Today’s snack consisted of cereal bar and milk. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 5/23/25. This facility is owned and operated by Watauga County Schools and housed in Parkway Elementary School. There was one new group leader (R.W.) and a sub that was also new (A.F.). I monitored those two (2) files during today’s visit. There are fifty (50) children enrolled and thirty-six (36) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 11/13/24. During Tropical Storm Helene, this facility was -closed from September 26th to November 4th, 2024. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective September 11, 2018. Permit Restrictions- Daytime care only, school-age children only, playground does not meet child care playground standards, meets reduced ratios and enhanced space. The last fire drill was practiced on 5/20/25. A shelter in place drill was conducted 5/22/25. The last fire inspection was 8/27/24. The last sanitation inspection was completed on 4/16/25 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted but not current. Lead water testing was completed on 7/15/21 without hazards. This test should be repeated every three (3) years and was due on 7/15/24. *I can see that the sample kit has been shipped to the facility. Lead paint and asbestos testing has not yet been completed. *I can see that enrollment has been started bee this process. The following violations were documented during today’s visit: Violation Number Comment Rule 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. At least one of the people listed on the plan no longer works here. .0802(b)(1-2) Technical assistance: Item #1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. *At least one of the people listed on the plan no longer works here. The plan should be updated. 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 June 10, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 0 Completed Date: 12/5/2024 Age: From 0 To 0 Total Minutes: 30 Time In: 02:00 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to discuss a criminal background check not completed for the administrator. The center’s annual compliance visit was conducted on November 13, 2024. On November 26, 2024 a letter of correction was submitted by Trevor Owens to me, Georgia Lee Marshall. It stated that “Ms. Trimble is still in the process of getting an approved background check. With the flood, the roof damage, and the gym floor damage, it has been challenging for her to say the least in her first year. We are requesting a two week extension to get the Background check and/or provisional background check completed. Please let me know if this is possible.” Based on the information received the following violations were documented: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Administrator M. T. does not have a CBC completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Administrator M. T. does not have a qualification letter on file to review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: The administrator (Principal of the elementary school) Ms. Trimble has not completed the criminal background check as required. This is required for DPI programs for licensed child care programs. M. Trimble took this position on June 2024. The interim principal that was previously in this position also had this violation. It is imperative that principals start this process as soon as they are hired. General Statute 110-90.2. Mandatory child care providers' criminal history checks b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. This violation must be corrected on or before fourteen (14) days and that a copy of the qualification letter must be mailed to me with the required compliance letter. Until a qualification letter is received and sent to me Ms. Trimble cannot be on-site during operating hours of the licensed after school program. A letter identifying the criminal background qualification was not on site for the administrator. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance A compliance statement for item # 1041 and #1757 is due by December 19, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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.

G.S. 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 0 Completed Date: 12/5/2024 Age: From 0 To 0 Total Minutes: 30 Time In: 02:00 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to discuss a criminal background check not completed for the administrator. The center’s annual compliance visit was conducted on November 13, 2024. On November 26, 2024 a letter of correction was submitted by Trevor Owens to me, Georgia Lee Marshall. It stated that “Ms. Trimble is still in the process of getting an approved background check. With the flood, the roof damage, and the gym floor damage, it has been challenging for her to say the least in her first year. We are requesting a two week extension to get the Background check and/or provisional background check completed. Please let me know if this is possible.” Based on the information received the following violations were documented: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Administrator M. T. does not have a CBC completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Administrator M. T. does not have a qualification letter on file to review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: The administrator (Principal of the elementary school) Ms. Trimble has not completed the criminal background check as required. This is required for DPI programs for licensed child care programs. M. Trimble took this position on June 2024. The interim principal that was previously in this position also had this violation. It is imperative that principals start this process as soon as they are hired. General Statute 110-90.2. Mandatory child care providers' criminal history checks b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. This violation must be corrected on or before fourteen (14) days and that a copy of the qualification letter must be mailed to me with the required compliance letter. Until a qualification letter is received and sent to me Ms. Trimble cannot be on-site during operating hours of the licensed after school program. A letter identifying the criminal background qualification was not on site for the administrator. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance A compliance statement for item # 1041 and #1757 is due by December 19, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/13/2024 Number Present: 31 Completed Date: 11/13/2024 Age: From 5 To 11 Total Minutes: 195 Time In: 02:45 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by McCormick Grubb, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Grubb was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-five (75%) percentage as of 11/13/24. This facility is owned and operated by Watauga County Schools and is housed in Parkway Elementary School. Permit type – Five Star License issued 9/11/18. Special Services/Restrictions – Daytime care only, school age children only, playground area does not meet child care standards, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 11/2/23. The last fire drill was practiced on 10/30/24. The last shelter-in-place drill was practiced on 3/21/24. There hasn’t been another emergency drill practiced since school started, however since Tropical Storm Helene hit in late September closing down the school through October 24, 2024, I am offering technical assistance for you to complete this as soon as possible. The last fire inspection was approved on 8/27/24. The previous fire inspection was completed on 8/23/23, which is four (4) days past due. The last sanitation inspection was conducted on 9/24/24 with three (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon my arrival, children had just finished snack and were on their way outside to play. Ms. Grubb laid out all her files for me to monitor before they went out. When children arrived back inside, they went into small groups to read. Work in educational activities such as homework. Some read aloud to the younger children. Children played ping pong on the wall, explored with art and played games such as chess. Snack today consisted of yogurt and pretzels. 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 1041 Prior to employment a Criminal Background Check was not completed. The administrator did not have a qualifying letter on file. G.S. 110-90.2(b) Technical assistance was provided as follows: Item # 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. *The inspection occurred four (4) days past the due date. Item # 1898 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. *Two (2) staff [LG and DL], did not complete this training requirement within the first year of employment. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. *The administrator did not have a qualifying letter on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 27, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed that since the program was closed for a month, we would give them time to have an emergency drill this month. • We discussed that they are responsible for contacting the fire marshal to obtain a fire inspection before the last one expires. • It appears that Ms. Trimble started her background check and fingerprints but there was a too much time in between and the case is closed. I think she just needs to start over or call them. • We discussed where to file incident reports when they occur. • We discussed more details on activity plans and separate it out by age. • We also discussed the rugs curling on the corners. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 40 Completed Date: 4/9/2024 Age: From 5 To 11 Total Minutes: 200 Time In: 02:40 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Parkway Extended Learning Center operates with a Five (5) Star Rated License issued to Watauga County Schools, on 9/11/18. Linzy Gall, Program Coordinator, assisted me today during the visit. I was informed during today’s visit that the principal/administrator retired 12/15/23. The current interium principal/administrator has not completed the preservice administrators form and does not have a qualifying letter on file from our Criminal Background Check. The program’s annual compliance visit was conducted on 11/2/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions This program has one classroom in the school cafeteria of five to eleven- year old children. When I arrived, I observed children sitting at tables socializing. They had just finished having snack and was preparing to do homework and divide into center time. There are three (3) groups of children and four (4) group leaders. Children began doing homework, playing in centers (which included drawing and writing, hula hoops and balls, dress up, manipulative activities and more. Children also took turns going to the gym for active physical play since it was raining today. All caregiving interactions were positive and nurturing. The snack today consisted of Chex mix and milk. There has been three (3) new staff hired since the last annual compliance visit. The last fire drill was practiced in March. The last emergency drill, lock down drill, was practiced March, bust should have been completed in February. The last fire inspection was approved on 8/23/23. The program’s most recent sanitation inspection was completed on 10/30/23, with six (6) demerits for a superior classification. The Emergency Preparedness and Response plan is current. The Emergency Medical Care Plan was not current, but Ms. Gall updated it during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was for the previous month. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January. .0604(t); .0302(d)(5) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Group leader DL did not have a completed health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Group leader DL did not have a completed emergency information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The interim principal/administrator W. E., does not have a DCDEE criminal background check. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted every four (4) months instead of every three (3) months. .0604(u);.0302(d)(8) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The Emergency Medical Care Plan was not up to date with the current staff names. .0802(b)(1-2) Technical assistance: Items #1034 and 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members Child care providers, including the director, uncompensated providers, substitute providers, and volunteers should have the Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. This is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. It should be completed on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. A Health Questionnaire is a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. This should be completed annually following the initial medical statement. Note: Group leader DL did not have a completed emergency information form or health questionnaire on file. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item #1041 § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Note: The interim principal/administrator Wayne Eberle, does not have the DCDEE criminal background check. Item 805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: A fire drill was not completed in January. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was done every 4 months instead of every 3 months. Item #526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu that was posted was for the previous month. Item #1914 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Note: The Emergency Medical Care Plan was not up to date with the current staff names. Items #428 and 431 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Note: The activity plans that were posted were not dated. The plans were vague and repeated the same for every day of the week. 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 4/23/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • The summary of the law that was posted needs to be updated to the current version. • The activity plans need to have more details on them. They need to be written so that a substitute that walks in will know exactly what is expected of them. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Jaime Kinner, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PARKWAY EXTENDED LEARNING CENTER Facility ID: 95000091 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 40 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 240 Time In: 02:00 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Julia Teague, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Today, Ms. Teague was available to assist and answer my questions. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percentage as of 11/02/23. This afterschool facility is owned and operated by Watauga County Schools. The facility is housed in Parkway Elementary School. Permit type – Five-star (5) license, issued on 9/11/18. Special Services/Restrictions – Daytime care only, school age only, meets enhanced space requirements, meets reduced ratio requirements, playground area does not meet child care playground safety standards. The last annual compliance visit was conducted on 11/14/23. The fire drill log was blank, and no fire drill have been logged for the past three (3) months. There weren’t any emergency drills to review. The last fire inspection was approved on 8/26/22. The last sanitation inspection was conducted on 10/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. Upon my arrival I checked in at the front office and went to cafeteria where after school operates. Today was an early release day so the children were in the gym having gross motor play. I informed Ms. Teague about the reason for today’s visit. I checked postings and met with group leaders as they arrived in the cafeteria. Children put their belongings in their cubbies, washed their hands, got their snack and went to the tables to eat. After snack, the four (4) groups dispersed where two (2) groups go outside to play on the playground and two (2) groups play in centers and other activities. Snack today was graham crackers and milk. Since it was a longer day, a second snack was served which was a nutria-grain bar. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspection was not on file or submitted. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) application that I reviewed did not the summary of the law statement signed by the parent/guardian. GS 110-102 428 A current activity plan was not posted for each group of children for reference. There wasn’t an activity plan posted for group #2. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. There was no menu posted. 10A NCAC 09 .0901(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Note: Children did not was hands after coming inside from playing on the playground. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drills logged for the past three (3) months. The log from last school year was not on file. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One emergency medication was expired therefore, it did not meet the requirement for this rule 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A medication was not discarded after the child withdrew. .0803(12) 853 Incident logs were not completed and maintained as required. An incident log has not been maintained for this school year. .0802(g)(1-6) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A health questionnaire form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An emergency information form was not on file for all six (6) new staff. This was corrected during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Background checks were not completed prior to employment for J. Teague, J. Thomas and K. Boeglin. (this is separate from what the school system requires). G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. G.S. 110-91( 9) 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. Two (2) staff are past due for first aid and three more need it completed prior to the Thanksgiving break. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two (2) staff are past due for CPR and three more need it completed prior to the Thanksgiving break. .1102(d) 1303 Application was not signed by the parent. One (1) application that I reviewed was not signed by the parent/guardian. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. One (1) application that I reviewed did not have permission for emergency medical treatment signed by the parent/guardian. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) application that I reviewed did not the discipline policy statement signed by the parent/guardian. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. Kerrigan Hoffield did not have a criminal background check. Mr. Owens stated that her name was misspelled on the fingerprints. The background check completed through the school system does not count. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted this school year. The log from last school year was not available. .0604(u);.0302(d)(8) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One (1) application that I reviewed did not the tobacco restriction notice signed by the parent/guardian. .0604(j) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One emergency medication permission forms Were over a year old. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Two (2) staff are past due for this training and three more need it completed prior to the Thanksgiving break. .1102(g) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan that was posted was not current. .0802(b)(1-2) Technical assistance was provided as follows: Item #.0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: There wasn’t an activity plan posted for group #2. Item #.0805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Note: There was no fire drills logged for the past three (3) months. The log from last school year was not on file. Item #.0525 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: There was no menu posted. Items #.0842, #.1882 and #.0849 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. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Note: One emergency medication had expired. Note: One medication was not discarded after the child was no longer enrolled. Note: One medication permission forms were expired. Item # .0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Children did not was hands after coming inside from playing on the playground. Item #. 0106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Note: A current fire inspection was not on file or submitted. Item # .1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill has not been conducted this school year. The log from last schhol year was not available. Items # .1914 and .0853 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Note: The emergency medical care plan that was posted was not current. The names listed do not work at this site. Note: An incident log has not been maintained for this school year. Item # .1043 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files were not available for review for 3 out of four staff. Staff and training worksheet was not completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by November 16, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed the resources that I left for them since they are in Cohort #1. This is their prep year and next year they will go through Environmental Rating Scales. • We discussed their compliance history. • We discussed the importance of having the staff and training worksheet filled out and up to date at all times. Since it was not completed today, I will need to make a return visit next Tuesday to go over staff files. • I will return next week to review staff and children’s records. Please make sure they are together and ready for me to monitor. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times