10A NCAC 09 .0304 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .0514 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .0515 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .1103 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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. 110-102 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 6 Completed Date: 7/14/2025 Age: From 3 To 6 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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, Kaoru Eddins Child Care Consultant and also signed by Katie Anderson, owner/operator, during the visit. A signed copy of the visit summary was electronically emailed to you Ms. Anderson and Dianna Whitney, Administrator were available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit Corporation, Hawthorn Montessori School, is current/active as of 7/11/25. Permit type – four-star center license issued on 1/31/25. Special Services/Restrictions – daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only and maximum of four (4) staff allowed per septic system restrictions. This is the first annual compliance visit conducted since the permit was issued. The last fire drill was practiced on 6/12/25. The last shelter-in-place drill was practiced on 4/1/25. The last playground inspection was documented on 6/12/25. The last fire inspection was approved on 8/1/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was completed on 7/4/25. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 8/20/24 without hazards. Lead paint and asbestos testing was completed on 10/22/24. Upon arrival, I announced my presence and the purpose of the visit. Two (2) children arrived during my visit, and a total of six (6) children were present with two (2) staff members. Some children had morning snacks brought from home, while the other children engaged in free play with games, sandbox, Legos and other materials in space #2. The children played in the playground mid-morning. One (1) therapist was present during the visit and stayed with a child in the classroom. Space #1 was used to store children’s personal items as well as for rest time. However, no rest time is offered to the children during summer camp weeks unless needed. Some over-the-counter topicals were maintained in the classrooms. Lip balms for some children were maintained in space #1 and a lotion for a child in the bathroom between space #2 and #3. Permission forms for the topicals were monitored. All playgrounds were monitored, and no safety hazards were identified during the visit. No fall zones are required for this playground. Children brought meals from home, and the lunchboxes were stored in the refrigerator in space #5. The temperature of the refrigerator was thirty-six (36) degrees. Space #3, #4, and #5 were not occupied by children during the visit. Space #4 is currently used as a storage. Two (2) children’s files were monitored. Currently, the children do not play outside of the fence. One (1) existing staff file was monitored in full, and the other staff file was monitored partially for supplemental information. 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. Technical assistance was provided as follows: Documents for enrollment: 114: Summary of law G.S. 110-102 1203: Review of operational policy in writing .0514(b) 1207: Parent Participation Plan .0515(a) 1314: responsibly party’s choice of health care professional .0802(c)(2). 1324: signed and date statement by parents for discipline policy .1804(b)(c). 1325: the acknowledgement statement for discipline include child’s name and date of enrollment .1804(b). 1790: Nutrition opt-put form .0901(d) 1851: Notification of smoking and tobacco restriction in writing .0604(j). 1908: signed acknowledgement for Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy .0608(c). Child Care Rules require that the parent or guardian sign an acknowledgment of receipt for the policies listed above. Please ensure the following information is included: • The child’s name • The date of the child’s enrollment • The parent or guardian’s signature • The date the acknowledgment was signed 847: Medication authorization form Medication authorization form must include all the information listed on .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Please have the parent/guardian complete the forms for Chapstick lip balm and Burt’s Bee Lip Balm stored in space #1. 1232: Staff development plan and annual evaluation Each staff member is required to complete a staff development plan and annual evaluation every year. While the development plan may cover a period longer than one (1) year, it must be reviewed annually. If no changes are made to the plan during the review, the staff member must still sign and date the plan to confirm the review was completed. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child, three (3) years of age did not have documentation of receipt of Child Care Law. GS 110-102 847 Parent's medication authorization did not include required information. The authorization form for a Chapstick lip balm was not completed. The form for Burt's Bee Lip Balm was missing the parent/guardian's signature and the date. 10A NCAC 09 .0803(4)(6-9) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. The documentation of receipt and review of the program's operational policy was not in file for a child. 10A NCAC 09 .0514(b) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of parent participation policy was not in file for a child. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual evaluations for staff members were not completed for 2024-2025 school year. 10A NCAC 09 .0514(f) 1314 Emergency information did not name childs health care professional. The application did not include the responsible party's choice of medical professional for a child. .0802(c)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. The receipt and discussion of program's discipline was not documented and maintained in the file for a child. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. No document of review of the program's discipline was maintained in the file for a child. .1804(b) 1790 A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center. Children's bring their own meals at this facility. A nutrition opt-out form was not in file for a child. .0901(d) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Documentation of notification of the program's tobacco/smoking policy was not maintained in the file for a child. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Acknowledgement of receipt and discussion of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in the file for a child. .0608(b)(1-6) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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: ABCMS: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. On-going training Staff required to receive ongoing training must complete the number of training hours based on their education and experience, as outlined in Child Care Rule 10A NCAC 09 .1103(a). Since this is the first year of operation for the program under the new facility ID, Health and Safety training is required and will count toward this year’s ongoing training requirements. The next training period is July 18, 2025 – July 17, 2026. Based on the WORKS letter, you are required to complete ten (10) hours of annual training. Please note that you may carry over up to five (5) hours into the next training year if you complete extra hours of training during the current training period. All training certificates must be attached to the training log as documentation. If you have completed any Early Childhood Education (ECE) coursework at an accredited college or university, you must also attach a transcript as proof of course completion. One (1) semester hour is equivalent to sixteen (16) training hours. In addition, whenever you complete ECE coursework, you must submit an official transcript—either sealed or sent directly by the institution—to the WORKS Education Unit to update your education status. Per Ms. Anderson, EDU 110, 261 and 262 were completed. She is planning to complete one more class. Ms. Whitney’s next training period is 7/15/25 – 7/14/26. You find free training on DCDEE Moodle. The new training, “Child Development Module” is currently available. Additionally, you can find many ERS-3 related training at https://www.ncrlap.org/ 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. Shelter-in-place/lockdown drill Please conduct a shelter-in-place or a lockdown drill this month. Cabinets: Even though the cabinet doors were locked, unlocking device, such as keys must be stored away from the locks. Please pull the keys out of the locks for the cabinets and hang them nearby. 15A NCAC 18A .2820 STORAGE (b) Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 8 Completed Date: 11/20/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of location change. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. Dianna Whitney, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy emailed to you. Currently this center operates with a Temporary License, issued on 8/23/24 and is effective through 2/23/25. The restrictions include daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed on 11/18/24, and the non-profit corporation, Hawthorn Montessori school, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill has not been completed. The last shelter-in-place drill or lockdown drill has not been completed. The last monthly playground inspection was documented on 9/17/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerits for a Superior Classification. The sanitation inspection also stated a maximum capacity of twenty (20) children and that the facility has an on-site wastewater system (septic system). The last approved fire inspection was conducted on 8/1/24 for daytime care only. The Emergency Preparedness Response (EPR) plan must be completed on or before 12/23/24. Dianna Whitney, Administrator, completed EPR training on December 4-6, 2023. The emergency medical care (EMC) plan was posted. The incident log was in use. No incidents have occurred thus far. The children were observed in space #3. Per Ms. Whitney, the children drop off their belongings in space #1 and use both space #2 and #3 for free play. A group of three-to-five-year-old children engaged in free play and took turns to eat morning snacks. Some children played with puzzles, number board, drawing and some children had snack. Sunscreen is maintained in the bathroom area above five (5) feet. Children’s permission forms were current. Five (5) playground spaces were monitored. Three (3) children files were monitored There are three (3) staff. Three (3) staff files were monitored. Staff and Training Worksheet shall be submitted to me within twenty-four (24) hours. My email address is kaoru.eddins@dhhs.nc.gov. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the change of location, the facility has the option to use the points from the previous location’s star rating. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperature was 46.6 degree. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The paint on the bench in playground #3 and on the climber in playground #5 is peeling. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill has not been completed since the opening of this program. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection was completed on 9/17/24. .0605(q) Technical assistance for correction plan: 601: Refrigerator temperature Per 15A NCAC 18A .2806(j), refrigerator shall be maintained under forty-five (45) degree or lower. 705: Peeling paint Per 10A NCAC 09 .0601 (c), peeling paint shall be painted over. Please paint the climbing structure in playground space #5, and the bench on space #3. 803: Fire Drill Fire drill shall be conducted monthly. When there is one (1) school-day in the month, you shall be completing the fire drill. If a drill is missed in the previous month, I recommend you conduct the drill early in the following month. 859: Playground inspection Playground inspection is required monthly and as needed basis. Please conduct an inspection immediately. 1811: Shelter-in-place Shelter-in-place/lockdown drill shall be conducted every three (3) months. Please conduct a shelter-in-place or a lockdown drill immediately. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 12/4/24 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Kaoru Eddins PO Box 795, Pisgah Forest NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous location. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous location. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous location. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four-year-old children. The curriculum has not been purchased. Ms. Anderson is looking into accreditation with American Montessori Society Credential. Technical Assistance: Technical assistance was provided for certain items. Due to the effects of Tropical Storm Helene, additional time is permitted for programs to meet compliance in some cases. K. Anderson: • needs an official transcript as a record of on-going training. • Health and Safety training is due on or prior to 9/27/25. L. Nesmith • Orientation dates shall be recorded on the orientation record sheet along with the topics covered during the orientation. • Health and Safety Training is due on or prior to 7/15/25. Orientation dates will be filled out upon creating staff and training worksheet. D. Whitney • CPR/First Aid certificate shall be maintained in the staff file. • Obtain medical statement need to be obtained. • Obtain TB screening – The record of TB shall be within twelve (12) months of hiring date. Your TB screening is dated on 1/14/22 while your employment date is 7/15/24. • Orientation dates shall be recorded on the orientation record sheet along with the topics covered during the orientation. • Health and Safety training is due on or prior to 7/15/25. Per discussion, Ms. Whiteney is expecting two (2) weeks to obtain medical statement and TB screening. Orientation dates will be filled out upon creating staff and training worksheet. Fence/gate on playground space #4: The height of the gates is measured for approximately thirty-three (33) inches. Minimum of four (4) feet is required. You can add replace the gate, add fence topper to meet the height and/or remove the space from the license space. Consultation: 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or my supervisor, Bonnie Mathis 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: Hawthorn Montessori School Facility ID: 11000959 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 8 Completed Date: 11/20/2024 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of location change. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. Dianna Whitney, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy emailed to you. Currently this center operates with a Temporary License, issued on 8/23/24 and is effective through 2/23/25. The restrictions include daytime care, no children in diapers, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed on 11/18/24, and the non-profit corporation, Hawthorn Montessori school, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill has not been completed. The last shelter-in-place drill or lockdown drill has not been completed. The last monthly playground inspection was documented on 9/17/24. The last sanitation inspection was conducted on 9/24/24 with zero (0) demerits for a Superior Classification. The sanitation inspection also stated a maximum capacity of twenty (20) children and that the facility has an on-site wastewater system (septic system). The last approved fire inspection was conducted on 8/1/24 for daytime care only. The Emergency Preparedness Response (EPR) plan must be completed on or before 12/23/24. Dianna Whitney, Administrator, completed EPR training on December 4-6, 2023. The emergency medical care (EMC) plan was posted. The incident log was in use. No incidents have occurred thus far. The children were observed in space #3. Per Ms. Whitney, the children drop off their belongings in space #1 and use both space #2 and #3 for free play. A group of three-to-five-year-old children engaged in free play and took turns to eat morning snacks. Some children played with puzzles, number board, drawing and some children had snack. Sunscreen is maintained in the bathroom area above five (5) feet. Children’s permission forms were current. Five (5) playground spaces were monitored. Three (3) children files were monitored There are three (3) staff. Three (3) staff files were monitored. Staff and Training Worksheet shall be submitted to me within twenty-four (24) hours. My email address is kaoru.eddins@dhhs.nc.gov. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the change of location, the facility has the option to use the points from the previous location’s star rating. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperature was 46.6 degree. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The paint on the bench in playground #3 and on the climber in playground #5 is peeling. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill has not been completed since the opening of this program. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection was completed on 9/17/24. .0605(q) Technical assistance for correction plan: 601: Refrigerator temperature Per 15A NCAC 18A .2806(j), refrigerator shall be maintained under forty-five (45) degree or lower. 705: Peeling paint Per 10A NCAC 09 .0601 (c), peeling paint shall be painted over. Please paint the climbing structure in playground space #5, and the bench on space #3. 803: Fire Drill Fire drill shall be conducted monthly. When there is one (1) school-day in the month, you shall be completing the fire drill. If a drill is missed in the previous month, I recommend you conduct the drill early in the following month. 859: Playground inspection Playground inspection is required monthly and as needed basis. Please conduct an inspection immediately. 1811: Shelter-in-place Shelter-in-place/lockdown drill shall be conducted every three (3) months. Please conduct a shelter-in-place or a lockdown drill immediately. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 12/4/24 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Kaoru Eddins PO Box 795, Pisgah Forest NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@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. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous location. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous location. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous location. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four-year-old children. The curriculum has not been purchased. Ms. Anderson is looking into accreditation with American Montessori Society Credential. Technical Assistance: Technical assistance was provided for certain items. Due to the effects of Tropical Storm Helene, additional time is permitted for programs to meet compliance in some cases. K. Anderson: • needs an official transcript as a record of on-going training. • Health and Safety training is due on or prior to 9/27/25. L. Nesmith • Orientation dates shall be recorded on the orientation record sheet along with the topics covered during the orientation. • Health and Safety Training is due on or prior to 7/15/25. Orientation dates will be filled out upon creating staff and training worksheet. D. Whitney • CPR/First Aid certificate shall be maintained in the staff file. • Obtain medical statement need to be obtained. • Obtain TB screening – The record of TB shall be within twelve (12) months of hiring date. Your TB screening is dated on 1/14/22 while your employment date is 7/15/24. • Orientation dates shall be recorded on the orientation record sheet along with the topics covered during the orientation. • Health and Safety training is due on or prior to 7/15/25. Per discussion, Ms. Whiteney is expecting two (2) weeks to obtain medical statement and TB screening. Orientation dates will be filled out upon creating staff and training worksheet. Fence/gate on playground space #4: The height of the gates is measured for approximately thirty-three (33) inches. Minimum of four (4) feet is required. You can add replace the gate, add fence topper to meet the height and/or remove the space from the license space. Consultation: 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest 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 kaoru.eddins@dhhs.nc.gov or 828.556.9013, or my supervisor, Bonnie Mathis 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