10A NCAC 09 .0304 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0605 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 15 Completed Date: 11/27/2023 Age: From 2 To 5 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Tabitha Justice, Education Coordinator, during the visit. An electronic signed copy of the visit summary was to you. Today, Tabitha Justice, Education Coordinator, accompanied me today The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percentage as of 11/26/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, Mountain Projects, Inc. is current/active as of 11/26/23. Permit type – five-star center license issued on 9/18/18. Special Services/Restrictions include daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/5/22. The last fire drill was practiced on 11/15/23. The last shelter-in-place drill was practiced on11/21/3. The last playground inspection was documented on 11/8/23. The last fire inspection was approved 10/30/23. The last sanitation inspection was conducted on 10/19/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. A group of three-to-five-year-old children played on the playground. There are a large slide structure, train structure and riding track on the playground. The mulch was measured for seven (7) inches. The children played on the slide structures, frisbees, sand with accessories. The group of children transitioned from outside to inside. The teachers gathered children in the group area. One (1) teacher read “Silly Sally” to the children while the other teacher cleaned the table. The children took turns to use the bathroom and washed their hands. After reading, the children were guided to read books individually until they washed their hands and transitioned to the table for lunch. The lunch was served family style in this classroom. Today’ lunch was beef soup, mixed vegetables, peaches, roll and milk. All items were listed on the menu. In space #2, a group of two-year-old children played on the playground. There was a large slide structure, balance beam, sand boxes and riding toys. Lunch was served on the plate by a teacher in this classroom. Both teachers sat with children and ate lunch with them. Rest time was observed. The children laid on their cots. All cots were placed more than eighteen (18) inches apart. Supervision and interaction was adequate in both spaces. There are some diaper creams in space #2. The permission forms for the creams were valid. ABCMS system was checked for all staff members during the visit. All CBC letters are valid. Three (3) new staff files, one (1) existing staff file and two (2) children’s files were monitored. All required documents are in file for all staff members and children whose files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. There are no NC Pre-K children enrolled at this facility currently. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground#2, the mulch around the slide structure was measured for four (4)n inches. .0605(k)(1-4) Technical assistance was provided as follows: 1867: Loose surfacing: Loose surfacing for the fall zones on the playground shall be based on the height of the structure. The mulch can be packed after a while and may need to be fluffed up occasionally during cold month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: CPR/First Aid training for the staff member hired on 10/17/23 is due on or before 1/15/24. Rated License Cohort: Patricia S. Turner Head Start is in cohort one (1). The facility is getting ready to apply for prep-year assessment. One (1) staff member is ready to enroll at college, and the other teacher is already enrolled. Handwashing procedures: It took over twenty (20) minutes for the group of children to finish handwashing in space #2 after coming in from outside. This may not be considered sufficient to meet handwashing requirements. Children read books while they were waiting for their turns. Books needed to be sanitized after the use if they were used before handwashing. Preparing a few tubs of toys for children to use after transitioning to inside/before handwashing is recommended. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: CHRISTOPHER MORROW Operation Type: Center Case Number: 0823-316A Visit Date: 8/24/2023 Number Present: 19 Completed Date: 8/24/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 10:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tabitha Justice, Education/Mental Health Coordinator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Justice, and three additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. On 8/18/23, staff members failed to follow the daily schedule and told children to remain seated at tables for approximately fifteen minutes and did not provide developmentally appropriate activities for the children. GS 110-91(12); .0508(d)(2) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 8/18/23 a staff member repeatedly yelled at children to be quiet and shut up. G.S. 110-91(10) 904 Child was handled roughly. On 8/18/23 a staff member walked a child to its their chair, roughly sitting it them down, and forcefully pushed the chair under against the table. The staff member forcefully pushed other children seated in chairs against the tables. .1803(a)(1) 906 Discipline was delegated to another child. On 8/18/2023 a staff member told a three-year-old child to hit another four-year-old child back. The staff member told children to hit other children back. .1803(a)(3) 1810 There was a substantiation of child maltreatment. The Division of Child Development and Early Education determined child maltreatment based on a staff member’s failure to attend to four-year-old children in a nurturing and caring manner and a staff member's failure to meet the physical needs of the child. GS 110-105.6(a) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On 8/18/23 a staff member threatened to hit a child on the mouth and threatened to hit another child back. .1803(a)(9) Violations must be corrected immediately. Within one week, on about 8/31/2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov. You may contact me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov or Natosha Lambeth, Investigations Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-105 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: CHRISTOPHER MORROW Operation Type: Center Case Number: 0823-316A Visit Date: 8/24/2023 Number Present: 19 Completed Date: 8/24/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 10:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tabitha Justice, Education/Mental Health Coordinator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Justice, and three additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. On 8/18/23, staff members failed to follow the daily schedule and told children to remain seated at tables for approximately fifteen minutes and did not provide developmentally appropriate activities for the children. GS 110-91(12); .0508(d)(2) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 8/18/23 a staff member repeatedly yelled at children to be quiet and shut up. G.S. 110-91(10) 904 Child was handled roughly. On 8/18/23 a staff member walked a child to its their chair, roughly sitting it them down, and forcefully pushed the chair under against the table. The staff member forcefully pushed other children seated in chairs against the tables. .1803(a)(1) 906 Discipline was delegated to another child. On 8/18/2023 a staff member told a three-year-old child to hit another four-year-old child back. The staff member told children to hit other children back. .1803(a)(3) 1810 There was a substantiation of child maltreatment. The Division of Child Development and Early Education determined child maltreatment based on a staff member’s failure to attend to four-year-old children in a nurturing and caring manner and a staff member's failure to meet the physical needs of the child. GS 110-105.6(a) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On 8/18/23 a staff member threatened to hit a child on the mouth and threatened to hit another child back. .1803(a)(9) Violations must be corrected immediately. Within one week, on about 8/31/2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov. You may contact me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov or Natosha Lambeth, Investigations Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PATRICIA S. TURNER HEAD START Facility ID: 44000054 Consultant: CHRISTOPHER MORROW Operation Type: Center Case Number: 0823-316A Visit Date: 8/24/2023 Number Present: 19 Completed Date: 8/24/2023 Age: From 1 To 5 Total Minutes: 115 Time In: 10:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tabitha Justice, Education/Mental Health Coordinator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Justice, and three additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 427 Children three years old or older were in care and the schedule did not include times and/or activities that were developmentally appropriate for the children in care. On 8/18/23, staff members failed to follow the daily schedule and told children to remain seated at tables for approximately fifteen minutes and did not provide developmentally appropriate activities for the children. GS 110-91(12); .0508(d)(2) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 8/18/23 a staff member repeatedly yelled at children to be quiet and shut up. G.S. 110-91(10) 904 Child was handled roughly. On 8/18/23 a staff member walked a child to its their chair, roughly sitting it them down, and forcefully pushed the chair under against the table. The staff member forcefully pushed other children seated in chairs against the tables. .1803(a)(1) 906 Discipline was delegated to another child. On 8/18/2023 a staff member told a three-year-old child to hit another four-year-old child back. The staff member told children to hit other children back. .1803(a)(3) 1810 There was a substantiation of child maltreatment. The Division of Child Development and Early Education determined child maltreatment based on a staff member’s failure to attend to four-year-old children in a nurturing and caring manner and a staff member's failure to meet the physical needs of the child. GS 110-105.6(a) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On 8/18/23 a staff member threatened to hit a child on the mouth and threatened to hit another child back. .1803(a)(9) Violations must be corrected immediately. Within one week, on about 8/31/2023, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov. You may contact me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov or Natosha Lambeth, Investigations Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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