10A NCAC 09 .0304 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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 .0604 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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

GS110-106 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/14/2025 Number Present: 26 Completed Date: 8/14/2025 Age: From 1 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Matthews was 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 ninety-eight (98) 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, Snow Hill United Methodist Church, is current/active as of 8/11/25. Permit type – GS110-106 issued on 6/28/21. Special Services/Restrictions – daytime care. The program receives subsidies. The last annual compliance visit was conducted on 8/28/24. The last fire drill was practiced on 7/29/25. The last shelter-in-place drill was practiced on 6/6/25. The last playground inspection was documented on 7/29/25. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/9/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 7/10/25. Incident log was adequately filled out. Lead water testing was completed on 7/19/23 without hazards. No information was available for lead paint and asbestos testing. The ABCMS roster was reviewed, and no staff members were listed yet. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of five (5) children, ranged one-to-two years of age, engaged in free play with toy vehicles, soft materials, and toy houses. Diaper creams and over-the-counter medications were monitored. Children’s Motrin was stored in a locked storage along with the creams. Seven (7) children from space #2, ranged two-to-three years of age, played on the playground with gross motor accessories and playground equipment. No safety hazards were found on the playground. When they returned to the classroom, the staff member lead group time. They sang and danced, then listened to a story. There were eight (8) children, ranging from three-to-four years of age, in attendance today. However, due to staff shortage, the children were grouped with six (6) children, ranged four-to-five years of age, in space #4. The children played on the playground with kitchen, balance beam and other accessories. When they returned to the classroom, the children participated in group activities. When children needed to use the bathroom, Ms. Matthews, who was on kitchen duties today, supervised them. The children washed their hands prior to lunch. Today, chicken patties, bread, corn, pears and milk were served. The items were correctly listed on the menu. Staff member supervised the children during lunch. Three (3) emergency medications were maintained at the facility. Action plans, permission forms, medication expirations, and storage were in compliance. Permission forms for diaper creams and lotions were all current. Rest time was observed for space #1. Staff members walked about the monitored children. At the time of monitoring, no children in space #2 and #4 were asleep. Overall supervision and interaction were adequate. Two (2) staff files were monitored in full, and three (3) staff files were monitored partially. There were no new staff members. The ABCMS system was monitored during the visit. Three children’s files were monitored. Summary of law, Shaken Baby policy, travel outside of fenced area, discipline, parent participation policies were included in the handbook. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member who was hired on 10/28/24 completed the Recognizing and Responding to Suspicions of Child Maltreatment training on 8/13/25. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The only training certificate found in the file for a staff member who was hired on 9/13/23 was Prevention and Control of Infectious Diseases. .1103(b) Technical assistance was provided as follows: 1897: Recognizing and Responding to Suspicions of Child Maltreatment The training must be completed within ninety (90) days of employment. The staff member completed the training on 8/13/25. In your statement letter, please state how you will prevent the recurrence of this violation. 1899: Health and Safety Training All topics areas of the Health and Safety Training must be completed, and the certificates must accompany the log. I printed the Health and Safety Training Record sheet and explained what topic must be renewed every five (5) years. To comply, please ask KA to print all the training certificates he/she completed and file them. In your compliance letter, please state the date you filed all the documents. 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 8/28/25. 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: Reminder: S.S must complete the 5th year health and safety training prior to 9/20/25. Two (2) epi-pens are expiring soon. One (1) at the end of September, the other one (1) at the end of October 2025. Fire inspection: Per previous conversation with the Fire Marshall, Ms. Matthew was told that contacting the fire department was unnecessary due to the nature of unannounced visit. However, it is okay to remind them of the due date for fire inspection since it is required annually. The last fire inspection was completed on 8/12/24. If you do not receive the inspection in upcoming weeks, please contact your Fire Marshall reminding of the inspection. Please fill out enrollment questionnaires for lead paint and asbestos on Clean Classroom for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/. Your site was previously monitored for lead paint and made necessary adjustments required by the Environmental Health. Tobacco restriction policy: Even though the tobacco restriction policy is posted, please include the policy in your handbook. Rule reference is listed below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. Six (6) employees were listed, in which two (2) staff members’ criminal background status expired. New and terminated/resigned employees must be reflected on this roster within five (5) days of the changes. Please log onto the ABCMS account using your business NCID and update the roster. 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. 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 .0102 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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 .0302 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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 .0304 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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 .0604 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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 110-106 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 26 Completed Date: 8/28/2024 Age: From 1 To 4 Total Minutes: 132 Time In: 09:28 AM Time Out: 11:40 AM 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 Kim Matthews, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Matthews was available to answer questions today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) 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, Snow Hill United Methodist Church, Inc., is current/active as of today. Permit type – GS 110-106 issued on 6/28/21 Special Services/Restrictions – daytime care. The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 7/29/24. The last lockdown/shelter-in-place drill was practiced on 8/1/24. The last playground inspection was documented on 7/30/24. The last fire inspection was approved on 8/12/24. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 7/924. Upon arrival, I greeted and announced the purpose of the visit. The children from space transitioned from the playground to the classroom. A group of five (5) children, one-year of age and one (1) teacher exited the playground, went through the preschool playground and transitioned to the classroom door. A group of eight (8) children, two (2) years of age, from space #2 played on the bike path. One (1) child was crying due to separating anxiety and held by the teacher. The children ran and played with toy vehicles. The children from space #3 and #4 were combined on the playground. The children played with pretend kitchen, toy vehicles, balls, balance beam and other materials. In the classroom, the children played with housekeeping materials, manipulative, puzzles and other toys. Supervision and interaction were adequate in each classroom. Medications were monitored. All diaper creams, sunscreen and other over-the-counter products and their permission forms were current. One (1) emergency medication in space #2 and one (1) in space #3 were maintained. Storage, expiration dates of the medication, action plan and medication authorization forms were all current and in compliance. One (1) new staff file, one (1) existing staff file and three (3) children’s files were monitored in full. The staff member hired on 9/13/23 is having some issues with Moodle and currently in communication with the technical support team. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 3/8/24 then 8/1/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill shall be completed every three months. Your next drill shall be completed in November 2024. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/24. 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 Address: 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: Handwashing requirements: Typically at this facility, the children line up in the bathroom to wash their hands upon returning to the classroom from outside, per Ms. Matthews. Today, the children started playing in their classroom and the teachers pulled one (1) child at a time to wash their hands. This was done because children from two (2) classrooms came in the building at the same time. We discussed handwashing requirement and strategies to meet compliance as well as reducing the wait time for the children. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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. 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 .0604 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0604 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 110-106 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 32 Completed Date: 2/14/2024 Age: From 1 To 5 Total Minutes: 130 Time In: 09:05 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Matthews, Administrator, accompanied me. indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of 2/8/24 Permit type – GS 110-106 issued on 6/28/21. Special Services/Restrictions – daytime care The last annual compliance visit was conducted on 9/26/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 12/14/23. The last playground inspection was documented on 1/30/24. The last fire inspection was approved on 8/8/23. The last sanitation inspection was conducted on 12/20/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The EPR plan was last updated on 7/27/23. Upon arrival, I announced my presence and the purpose of the visit. All the children dressed in pink and red for Valentine’s Day. In space #1, one-to-two-year-old children engaged in free play. The children played with stuffed animals, toy cars, battery-operated toys. One (1) of the children was crying due to today being his/her first day. The teacher held the child and comforted him/her. An epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #2, a group of two-to-three-year-old children engaged in free play with baby dolls and pretend cars. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. In space #3, a group of three-to-four-year-old children engaged in free play with magnetic tiles, Legos, cars, baby dolls and other materials. No medications are maintained in this classroom. In space #4, a group of four-to-five-year-old children engaged in free play with connecting pipes, housekeeping accessories, toy cars, pretend animals and other manipulatives. One (1) epi-pen is maintained in the classroom, and the permission form and the action plan were valid. There are two (2) playgrounds. For both playgrounds, the fences were 6ft tall. There are balance beams, kitchen and gross motor accessories on playground #1 and balance beams and gross motor accessories on playground #2. No hazardous materials were observed. Five (5) existing files and one (1) new staff file were monitored. All existing staff members have valid criminal background letters and First Aid/CPR certificates in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above heater/vent in space #4 was not covered with an outlet safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 812: outlet An outlet in space #4 by the heater/vent against the wall was not covered with a safety outlet cover. Please cover the outlet with an outlet cover. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Corrective Action Plan: Due to all violations corrected during the visit, you don't have to send me a letter of compliance unless you choose to. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/24. 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: Methodist Church affiliation: Upon changes in United Methodist Church policy, some Methodist churches disaffiliated themselves from the United Methodist Church. If Snow Hill United Methodist Church ever changes its affiliation, please notify me. New application and other documents will be required then. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0302 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0801 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS110-106 · Violation

Name of Operation: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: SNOW HILL CHILD ENRICHMENT CENTER Facility ID: 1155171 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 30 Completed Date: 9/26/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Kimberly Matthews, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Kimberly Matthews, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 9/15/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Snow Hill United Methodist Church, Inc. is current/active as of 9/15/23. Permit type – GS110-106 Notice of Compliance Special Services/Restrictions – Daytime care The last annual compliance visit was conducted on 9/28/22. The last fire drill was practiced on 8/18/23. The last shelter-in-place drill was practiced on 7/28/23. The last playground inspection was documented on 8/31/23. The last fire inspection was approved on 8/8/23. However, the inspection form was not left at the facility. Ms. Matthews has requested the form from Fire Marshall but has not been received. The last sanitation inspection was conducted on 2/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response (EPR) plan was last updated on 7/27/23. Upon arrival, I announce my presence and the purpose of the visit. I observed a group of one-to-two-year-old children transition from outdoor to indoor in space #1. The children came in from the classroom’s direct exit to outside and played with materials. In space #2, a group of two-to-three-year-old children engaged in free play. The children played with playdough, other manipulatives, and toy cars. On the playground, the children played with balls, portable slide structure, toy vehicles, play house and balance beam. The children in space #3 and #4 were temporarily combined on the playground and four (4) children, three (3) years of age played with the children in group #2 on the playground. On the older children’s playground, the children from space #3 and space #4 played together using play kitchen, toy vehicles, tools, balls, push toys and balance beam. Supervision and interaction were adequate. Lunch was served during the visit. Today’s menu was chicken breast, green beans, fruit cocktail/pears and milk. Apple Sauce was listed on the menu but was corrected prior to serving children. Medications were monitored. There are three (3) children on epi-pens. The medications were stored appropriately and the permission form/action plans for two (2) of the children were valid. Diaper creams were stored out-of-reach of children and/or in a locked storage. The permission forms were valid for all over-the-counter medications. Two (2) new staff files and one (1) existing staff file were monitored and are in compliance. Floor diagrams and playground diagrams were reviewed. The information on the diagrams are accurate reflection of the classrooms and the playgrounds. Three (3) children’s files were reviewed. NC Child Care law, discipline policy, no tobacco policy, activity outside of fenced area, safe sleep policy and prevention of shaken parent acknowledgement is in the children’s files. 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 were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. For attendance log for space #4, two (2) children did not have departure time for 9/18, one (1) child did not have a departure time for 9/19/23 and one (1) child did not have a departure time for 9/25/23. 10A NCAC 09 .0302(d)(4) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #1, a group of one-to-two-year-old children did not wash hands upon transition from outdoor to indoor. 15A NCAC 18A .2803(c) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for epi-pen for KB expired on 8/31/23 and has not been renewed. .0801(b) Technical assistance was provided as follows: 125: Daily record of arrival and Departure Arrival and departure time shall be recorded for each child each day. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 608: Handwashing Children shall wash hands upon arrival, after use of toilet, before eating, after water play, after outdoor play and after dealing with animals. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 1835: Medical Action Plan Medical action plan shall remain valid. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. 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 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. Consultation is provided as follows: Reminders: Epi-pen for a child in RP in space #1 will expire at the end of September. A permission form for diaper cream for KB will expire on 10/1/23. Baby powder: Having baby powder is not a violation. However, powders are considered lung irritants, therefore, it is not recommended for use today. Due to potential hazard to children, baby powers shall be stored in a locked storage. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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