Meadowbrook Elementary

10A NCAC 09 .0514 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .3203 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .3205 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .3207 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .3219 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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 .3221 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MEADOWBROOK ELEMENTARY Facility ID: 44000141 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 14 Completed Date: 1/12/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 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 could not be generated on site due to connectivity issues. This visit summary had to be completed off site. The information provide in the visit summary was reviewed with Kelli Setzer, Lead Teacher, during the visit and violations were explained to her. This report was signed by Sarah Upton, Child Care Consultant and emailed to Ms. Setzer for a signature. Today, Ms. Setzer, assisted me during my visit in her classroom, the indoor areas were monitored today, including 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 will be 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 one hundred percent (100%) as of January 12, 2026. This program is owned and operated by Haywood County Public Schools. Permit type – Five Star Special Services/Restrictions –Developmental Day Certified and NCPK approved, Transportation, Meets Enhanced Space, Meets Reduced Ratio The last annual compliance visit was conducted on January 17. 2025. The last shelter-in-place drill was practiced on October 06, 2025. The last playground inspection was documented on January 06, 2026. The last fire inspection was approved on April 09, 2025. The last sanitation inspection was conducted on December 08, 2025 with zero (0) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved assessment is Brigance. Lead water testing was completed on November 06, 2025. This facility is exempt from lead paint and asbestos testing. Upon arrival I introduced my presence to Ms. Setzer and explained the reason for my visit. I observed the children in classroom for children four-through-five years of age during free play inside, group time activities, lunch, which consisted of a choice between cheeseburgers, corn dog, French fries, fruit variety and milk, and preparing for nap. Supervision was adequate. Interactions were positive and nurturing. At this time there are no children riding school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has been completed and has been submitted to Barbara Jeffries, NCPRE-K Coordinator for review. The classroom operates from 7:30a.m. to 2:45 p.m. 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 1030 Application for employment and date of birth was not on file for all staff A substitute provider hired through Education Staffing Solutions (ESS) did not have an application and date of birth on file available for review. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A substitute provider hired through Education Staffing Solutions (ESS) did not have results indicating that they were free of active TB and/or TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A substitute provider hired through Education Staffing Solutions (ESS) did not have the required Emergency Information Form on file and available for review. .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received a job description and that they have received personnel and operational policies on file. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute provider hired through Education Staffing Solutions (ESS) did not have a valid qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The teacher assistant had not completed the required 15 hours of in-service training hours within their required timeframe of September 2024 to September 2025. .3013 (1)(2)(a-b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's EPR plan and location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute provider hired through Education Staffing Solutions (ESS) did not have a signed and dated statement that they received information regarding the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. A substitute provider hired through Education Staffing Solutions(ESS) did not have a health questionnaire on file and available for review. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through ESS must have all required substitute documentation on-site and available for review. As a reminder, substitutes employed through ESS are not considered DPI staff and cannot be listed on the DPI Staff Records Verification form. Their documentation also cannot be housed at the Central Office or any off-site location. Required information may either be kept by the individual and brought each time they substitute at this location, or a copy may be maintained at the facility. All staff not employed through Haywood County Public Schools must have the following on site and available for review, this includes substitutes hired through ESS. Item #1030 an application that includes the individuals date of birth’ Item #1033 TB negative test result or the TB Screening Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1035 Emergency Information Form, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Item #1233 a job description Item 1757 a copy of each staff member that is counting in staff to child ratio, and/or left alone with children must have qualification letter on site and available for review. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response (EPR) Plan and its location. A signed acknowledgement confirming that the plan has been reviewed with them must be placed in each individual’s file and made available for review. We encourage you to review the EPR Plan with anyone who works in your classroom and obtain their signed statement confirming the review. Emergencies can occur at any time, and it is essential that all staff are fully prepared to respond in a manner that ensures the safety of all children. Item #1874 All substitutes and volunteers must be informed of your Prevention of Shaken Baby and Abusive Head Trauma Policy and signed acknowledgement confirming that the policy has been reviewed with them must be placed in each individual’s file and made available for review. Item #1958 Health Questionnaire, which can be located at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms *To maintain compliance with the items listed above we would suggest completing the staff file checklist that is available at https://ncchildcare.ncdhhs.gov/ under “provider documents”. This will help ensure that you have all the required information on site and available for review in the required time frames. If ESS substitutes move about facilities, we encourage you to create a file at this facility to ensure that the information is on site at all times. Item # 1783 all teachers’ assistants in the NCPRE-K classroom must complete fifteen (15) hours of in-service training hours. In-service training hours must be completed annually based on the month and year of the teacher’s employment. The first year of employment staff will complete the Health and Safety Training topic areas. During the second year of employment staff will complete the required number of training hours. For example, if a staff is hired in September 2025, then they have until September 2026 to complete the Health and Safety Training topic areas. In-service/on-going training hours will start being calculated in September 2026 and will be counted until September 2027. Staff may carry over half of what is required. Staff members enrolled in early childhood education courses may count those hours as 48 hours per class. Training opportunities can be found on the following websites: www.ncrlap.org www.swcdcinc.org www.healthychildcare.unc.edu/training-for-early-educators/for-early-educators/ For training to be counted they must be provided by a DCDEE approved trainer and must be accompanied by a training certificate that includes the staff member’s name, the title of the training, the date, the time and trainer’s signature. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 01/26/2026 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. **Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Consultation is provided as follows: Today we scheduled a TA visit to review the QRIS modernization system with you in detail on March 04, 2026 at 12:30 pm. I encourage you to review the information below to familiarize yourself with the new pathways and to help prepare for our discussion during your scheduled TA visit. QRIS Modernization: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales have been updated as of February 01. 2025. Assessment tools used now are ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes.” These tools will be used for program assessments and reassessments. Be sure that you have copies of the updated scales for each classroom. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request an outreach assessment for each age group you serve. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. Reminder: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: 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 sarah.upton@dhhs.nc.gov or 828.782.0937, 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