10A NCAC 09 .0304 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1102 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1703 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .2830 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 29 Completed Date: 11/14/2025 Age: From 2 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson due to not having the power cord to my computer and computer needing to be charged. I reviewed violations written today with Ms. Johnson verbally before leaving the facility. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-eight percent (98%) as of November 13, 2025. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of November 14, 2025. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on November 20, 2024. The last fire drill was conducted on October 16, 2025. The last emergency drill was practiced on October 16, 2025. The last sanitation inspection was conducted on September 05, 2025 with five (5) demerits for a superior rating. The last Fire Inspection was conducted on March 26, 2024. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Lead water testing was completed on January 30, 2024 with hazards noted from the sink in the workroom area. You reported today the sink in the workroom is not used at this time. Lead paint and asbestos testing process has been started. This program does not transport children. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the two (2) groups for children ages three through five years of age were observed playing outside. Children were also observed during free play and lunch. Children in the group for children ages one through two years of age were observed playing outside. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The Fire Inspection submitted today was completed on 03/28/2024. A new fire inspection was not completed 12 months from the previous inspection. 10A NCAC 09 .0304(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet completed by the administrator, it was noted that three (3) staff members had not completed the on-going training hours required hours for them based on their education level and experience. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the administrator, it was noted that staff members that have been employed at the facility for a year or longer had not completed an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 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. After review of the Staff and Training Worksheet completed by the administrator, it was noted that two (2) new staff members did not have a signed statement that they received a job description. 10A NCAC 09 .0514(g) Technical assistance was provided as follows: Item#106 You will need to contact your Fire Inspection immediately to schedule a conduct the required Fire Safety Training and complete a new Fire Inspection before your Thanksgiving break. Item #1052 Ongoing training is important for North Carolina childcare teachers to improve skills, meet state requirements, and ensure child safety and development. The number of required annual training hours varies from 5 to 20 hours, depending on the teacher's education level and experience. These hours can be completed through various methods, including in-person classes, online courses, or college coursework. Annual training hour requirements 5 hours: Required for those with a four-year degree or higher in a child-related field. 8 hours: Required for those with a two-year degree in a child-related field or those with a North Carolina Early Childhood Administration Credential. 10 hours: Required for those with a certificate or diploma in a child-related field or those with a North Carolina Early Childhood Credential. 15 hours: Required for individuals with a minimum of 10 years of documented experience in a licensed child care setting. • 20 hours: The minimum requirement for those who do not meet any of the above criteria. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 28, 2025 Email the compliance letter on signed letterhead or in 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 !43 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 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: *Today we discussed using Google.com to search for any plant brought into facility to ensure that it is non toxic to children. *Today we scheduled a TA visit for 02/13/25 to review the QRIS modernization system in detail. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1804 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: 1224-110L Visit Date: 12/10/2024 Number Present: 24 Completed Date: 12/10/2024 Age: From 2 To 5 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. A signed copy of the visit summary was left on-site. Upon my arrival I introduced myself and the reason for my visit to Ms. Johnson. Ms. Johnson and I spoke privately regarding the following allegation that was received on December 10, 2024 and was sent to Sarah Upton, Child Care Consultant on December 10, 2024. You were given an opportunity to respond to each concern. There is a concern regarding discipline. Allegation one (1): Lead teacher in the classroom for children ages three-through-four years of age has been observed popping a child’s hand for touching toys on her desk. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. After speaking with the staff members I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation two (2): Lead teacher in the classroom for children ages three-through-four years of age has been observed pushing a child down on her cot and spanked a child with a stick. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. Staff members reported that the child’s mother provided the lead teacher with a paint stick and suggested that the paint stick be used to threaten the child into behaving but not to be used to spank the child. The lead teacher reported that she has used the paint stick several times to show the child and to tap her cot so she would lay down. Other staff reported that they have observed the lead teacher spanking the child with the stick and observed her hitting the child on the head with the stick on 12/05/2024. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation three (3): Lead teacher in the classroom for children ages three-through-four years of age has been observed spanking a child for hitting her. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. A staff member reported that on 12/05/2024 she observed the lead teacher spanking a child after the child hit her. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation four (4): Lead teacher in the classroom for children ages three-through-four years of age has been observed holding a child upside down for not listening. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. The lead teacher reported today that the parent of the child suggested that she turn the child upside down when he is misbehaving. She reported that she has used this technique several times. When ask to explain the technique she reported that she picks the child up by his waist, turns him upside and swings him back forth for a few seconds until he calms down. Other staff members reported that they have observed the lead teacher using this technique several times with a certain child that is showing signs of developmental delays and is awaiting screening. Based on the information reported today this allegation was substantiated. The following violations were written: Violation Number Comment Rule 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] The lead teacher of the classroom for children three-through-four-years of age has been observed by several staff members spanking or popping certain children with her hand or with a paint stick provided by the parent. GS 110-91(10); .1803(a) 904 Child was handled roughly. The lead teacher in the classroom for children three-through-four years of age reported that she had picked a child up by his waist turned him over and swung him back and forth as a form of discipline. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. The lead teacher of the classroom for children ages three-through-four years of age reported today that a child's parent provided her with a paint stick to be used to threaten/frighten her child to behave especially during nap time. .1803(a)(9) Technical Assistance: During this visit I reviewed the facility’s discipline policy which states: “We DO NOT handle children roughly, in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. “We DO NOT yell at, shame, or humiliate, frighten, threaten, or bully children. Item #872 The facility’s discipline policy must be followed at all times. **I highly recommend that you review the full discipline policy with your staff. If you feel like changes to the policy need to be made you are free to do so. The changes would need to be approved by me before they are implemented. According to 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS If a center changes its discipline policy at any time, it must give written notice of such a change to the child's parent, guardian, or full-time custodian 14 days prior to the implementation of the new policy. The center shall obtain the parent’s signature on a Effective April 1, 2022 109 statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the child's file as long as the child is enrolled. Item # 903 Corporal punishment: As we discussed the discipline policy that you have created for your facility should be followed at all times. Upon enrollment parents are given a copy of this policy and sign off that agree to this policy. When parents come to staff with suggestion on how to discipline their child staff should refer them back to the discipline policy they signed. At no time should a child be spanked, popped or turned upside down as a form of discipline. Item #1876 at no time shall a child be threaten to behave regardless if the parents suggest it or not. Please note: based on substantiated allegations regarding discipline, the facility may receive an administrative action. Compliance 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 December 24, 2024. Additionally, a follow-up visit will be conducted to verify compliance. 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. 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: ratio. Open / not marked corrected.

GS 110-106 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: 1224-110L Visit Date: 12/10/2024 Number Present: 24 Completed Date: 12/10/2024 Age: From 2 To 5 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. A signed copy of the visit summary was left on-site. Upon my arrival I introduced myself and the reason for my visit to Ms. Johnson. Ms. Johnson and I spoke privately regarding the following allegation that was received on December 10, 2024 and was sent to Sarah Upton, Child Care Consultant on December 10, 2024. You were given an opportunity to respond to each concern. There is a concern regarding discipline. Allegation one (1): Lead teacher in the classroom for children ages three-through-four years of age has been observed popping a child’s hand for touching toys on her desk. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. After speaking with the staff members I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation two (2): Lead teacher in the classroom for children ages three-through-four years of age has been observed pushing a child down on her cot and spanked a child with a stick. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. Staff members reported that the child’s mother provided the lead teacher with a paint stick and suggested that the paint stick be used to threaten the child into behaving but not to be used to spank the child. The lead teacher reported that she has used the paint stick several times to show the child and to tap her cot so she would lay down. Other staff reported that they have observed the lead teacher spanking the child with the stick and observed her hitting the child on the head with the stick on 12/05/2024. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation three (3): Lead teacher in the classroom for children ages three-through-four years of age has been observed spanking a child for hitting her. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. A staff member reported that on 12/05/2024 she observed the lead teacher spanking a child after the child hit her. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation four (4): Lead teacher in the classroom for children ages three-through-four years of age has been observed holding a child upside down for not listening. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. The lead teacher reported today that the parent of the child suggested that she turn the child upside down when he is misbehaving. She reported that she has used this technique several times. When ask to explain the technique she reported that she picks the child up by his waist, turns him upside and swings him back forth for a few seconds until he calms down. Other staff members reported that they have observed the lead teacher using this technique several times with a certain child that is showing signs of developmental delays and is awaiting screening. Based on the information reported today this allegation was substantiated. The following violations were written: Violation Number Comment Rule 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] The lead teacher of the classroom for children three-through-four-years of age has been observed by several staff members spanking or popping certain children with her hand or with a paint stick provided by the parent. GS 110-91(10); .1803(a) 904 Child was handled roughly. The lead teacher in the classroom for children three-through-four years of age reported that she had picked a child up by his waist turned him over and swung him back and forth as a form of discipline. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. The lead teacher of the classroom for children ages three-through-four years of age reported today that a child's parent provided her with a paint stick to be used to threaten/frighten her child to behave especially during nap time. .1803(a)(9) Technical Assistance: During this visit I reviewed the facility’s discipline policy which states: “We DO NOT handle children roughly, in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. “We DO NOT yell at, shame, or humiliate, frighten, threaten, or bully children. Item #872 The facility’s discipline policy must be followed at all times. **I highly recommend that you review the full discipline policy with your staff. If you feel like changes to the policy need to be made you are free to do so. The changes would need to be approved by me before they are implemented. According to 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS If a center changes its discipline policy at any time, it must give written notice of such a change to the child's parent, guardian, or full-time custodian 14 days prior to the implementation of the new policy. The center shall obtain the parent’s signature on a Effective April 1, 2022 109 statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the child's file as long as the child is enrolled. Item # 903 Corporal punishment: As we discussed the discipline policy that you have created for your facility should be followed at all times. Upon enrollment parents are given a copy of this policy and sign off that agree to this policy. When parents come to staff with suggestion on how to discipline their child staff should refer them back to the discipline policy they signed. At no time should a child be spanked, popped or turned upside down as a form of discipline. Item #1876 at no time shall a child be threaten to behave regardless if the parents suggest it or not. Please note: based on substantiated allegations regarding discipline, the facility may receive an administrative action. Compliance 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 December 24, 2024. Additionally, a follow-up visit will be conducted to verify compliance. 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. 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: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: 1224-110L Visit Date: 12/10/2024 Number Present: 24 Completed Date: 12/10/2024 Age: From 2 To 5 Total Minutes: 315 Time In: 11:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. A signed copy of the visit summary was left on-site. Upon my arrival I introduced myself and the reason for my visit to Ms. Johnson. Ms. Johnson and I spoke privately regarding the following allegation that was received on December 10, 2024 and was sent to Sarah Upton, Child Care Consultant on December 10, 2024. You were given an opportunity to respond to each concern. There is a concern regarding discipline. Allegation one (1): Lead teacher in the classroom for children ages three-through-four years of age has been observed popping a child’s hand for touching toys on her desk. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. After speaking with the staff members I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation two (2): Lead teacher in the classroom for children ages three-through-four years of age has been observed pushing a child down on her cot and spanked a child with a stick. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. Staff members reported that the child’s mother provided the lead teacher with a paint stick and suggested that the paint stick be used to threaten the child into behaving but not to be used to spank the child. The lead teacher reported that she has used the paint stick several times to show the child and to tap her cot so she would lay down. Other staff reported that they have observed the lead teacher spanking the child with the stick and observed her hitting the child on the head with the stick on 12/05/2024. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation three (3): Lead teacher in the classroom for children ages three-through-four years of age has been observed spanking a child for hitting her. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. A staff member reported that on 12/05/2024 she observed the lead teacher spanking a child after the child hit her. After speaking with the staff members, I received confirmation supporting the concerns listed in the allegation. Based on the information reported today this allegation was substantiated. Allegation four (4): Lead teacher in the classroom for children ages three-through-four years of age has been observed holding a child upside down for not listening. Today I spoke with four (4) staff members that currently work or who have recently worked in the classroom for children ages three-through-four years of age regarding the allegation listed above. The lead teacher reported today that the parent of the child suggested that she turn the child upside down when he is misbehaving. She reported that she has used this technique several times. When ask to explain the technique she reported that she picks the child up by his waist, turns him upside and swings him back forth for a few seconds until he calms down. Other staff members reported that they have observed the lead teacher using this technique several times with a certain child that is showing signs of developmental delays and is awaiting screening. Based on the information reported today this allegation was substantiated. The following violations were written: Violation Number Comment Rule 903 Corporal punishment was used. [Omit item 0903 for religious sponsored centers operating under GS 110-106 with an exemption on file with the Division.] The lead teacher of the classroom for children three-through-four-years of age has been observed by several staff members spanking or popping certain children with her hand or with a paint stick provided by the parent. GS 110-91(10); .1803(a) 904 Child was handled roughly. The lead teacher in the classroom for children three-through-four years of age reported that she had picked a child up by his waist turned him over and swung him back and forth as a form of discipline. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. The lead teacher of the classroom for children ages three-through-four years of age reported today that a child's parent provided her with a paint stick to be used to threaten/frighten her child to behave especially during nap time. .1803(a)(9) Technical Assistance: During this visit I reviewed the facility’s discipline policy which states: “We DO NOT handle children roughly, in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. “We DO NOT yell at, shame, or humiliate, frighten, threaten, or bully children. Item #872 The facility’s discipline policy must be followed at all times. **I highly recommend that you review the full discipline policy with your staff. If you feel like changes to the policy need to be made you are free to do so. The changes would need to be approved by me before they are implemented. According to 10A NCAC 09 .1804 DISCIPLINE POLICY FOR CHILD CARE CENTERS If a center changes its discipline policy at any time, it must give written notice of such a change to the child's parent, guardian, or full-time custodian 14 days prior to the implementation of the new policy. The center shall obtain the parent’s signature on a Effective April 1, 2022 109 statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the child's file as long as the child is enrolled. Item # 903 Corporal punishment: As we discussed the discipline policy that you have created for your facility should be followed at all times. Upon enrollment parents are given a copy of this policy and sign off that agree to this policy. When parents come to staff with suggestion on how to discipline their child staff should refer them back to the discipline policy they signed. At no time should a child be spanked, popped or turned upside down as a form of discipline. Item #1876 at no time shall a child be threaten to behave regardless if the parents suggest it or not. Please note: based on substantiated allegations regarding discipline, the facility may receive an administrative action. Compliance 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 December 24, 2024. Additionally, a follow-up visit will be conducted to verify compliance. 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. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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 .0604 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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 .0608 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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 .0713 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by April Johnson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Johnson accompanied me. Indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-Star Center License issued on 9/30/19. Special Services/Restrictions – daytime care, meets enhanced ratios, space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 12/7/23. The last fire drill was practiced on 4/15/24. The last lockdown drill was practiced on 4/15/24. The last playground inspection was documented on 4/17/24. The last fire inspection was approved on 3/26/24 The last sanitation inspection was conducted on 3/6/24 with two(2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I introduced myself and the purpose of the visit. In space #1, a group of four-to-five-year-old children engaged in free play with train tracks, pretend animals, tools, blocks, manipulatives, puppets and other materials. In space #2, a group of three-to-four-year-old children also engaged in free play and morning work. For morning work, the children traced letters and numbers and colored a worksheet. Other children played with materials, such as blocks, pretend food and other materials. In space #3, a group of two-to-three-year-old children played with manipulatives and large Duplo blocks. No hazards were found in the classrooms. The children bring their own lunch. Upon their arrival, morning snacks, lunch and afternoon snacks were separated. Lunch is immediately stored in the refrigerator. Children’s morning snacks and afternoon snacks were gathered in the basket. he basket with afternoon snacks went to the refrigerator, while the morning snacks were served to the children at 10:00 am. One (1) child from space #1 is on an epi-pen. The permission forms and the action plan were current. The medication is stored in the office currently. Morning snack time was observed. In space #1, a child brought strawberries and the other child had a cup of yogurt. In space #2, a child had a bag of sliced apples, and the other child had a bag of peeled oranges. Nap room (space #3) was also monitored. The children from space #1 use this space for rest time. Two (2) sets of cots were place seven (7) inches apart. Two (2) playgrounds were monitored. On the older children’s playground, there were swings, a slide, riding toys, sand/water table and accessories available to the children. For the loose surface, tire mulches were used around the slide and swings. The depth of the mulch was adequate. On the younger children’s playground, there were tricycles, tunnels, spinners and a portable slide available. Eight (8) existing staff members’ files were reviewed for criminal background letters and CPR/First Aid certificates. Some staff members had ITS/SIDS certificates, but this facility does not take infants. All staff members had current CBC letters and CPR/First Aid certificates. ABCMS system was reviewed during the visit, and all staff members' CBC letters were current. One (1) new staff files were reviewed in full. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #3(Nap room), Two (2) sets of cots were placed seven (7) inches apart. 15A NCAC 18A .2821(e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of Parent's Choice baby wipes were stored on the cart on the toddler playground. The height of the card was approximately thirty-two (32) inches. .0604(q) 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. Upon reviewed file for the staff hired on 4/15/24, the acknowledgement for for the facility's prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not in file. .0608(d)(1-4) Technical assistance was provided as follows: 614: Cots Cots shall be spaced at least eighteen (18) inches apart unless there are a divider. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 858: Plastic Some baby wipes in plastic bags have a warning to keep the item out of reach of children. If so, the item shall be inaccessible to the children. You can store the wipes in hard plastic boxes or sturdy plastic bags. You can also store the items at least five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1874: Prevention of Shaken Baby Syndrome and abusive head trauma The facility's policy shall be reviewed prior to caring for children. The staff member shall sign the acknowledgement form, and the form shall be maintained in the staff file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. 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 5/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Cashiers Valley Preschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. Grouping of children: We discussed a child with developmental delays. This child is turning three (3) in the near future but developmentally younger than three (3). Per the rules below, the child can be placed in the younger children’s classroom with a physician’s note. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; Emergency medication: We discussed storage of emergency medications. Per sanitation rule, emergency medications are recommended to be stored out of reach of children but not locked. This is due to the quick action required in case of medical emergencies, such as anaphylaxis. However, this is not an requirement. 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 .0304 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 .1101 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 .1102 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 .1103 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 .1703 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 .2830 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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

GS 110-91 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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

NC GS 110-90 · Violation

Name of Operation: CASHIERS VALLEY PRESCHOOL Facility ID: 50000114 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/7/2023 Number Present: 14 Completed Date: 12/7/2023 Age: From 2 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by April Johnson, Administrator. An electronic signed copy of the visit summary was electronically emailed to Ms. Johnson. Today, Ms. Johnson assisted me. 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 is attached to the computerized generated visit summary for your records. The program’s compliance history was eighty-nine percent (89%) as of December 06, 2023. This program is owned and operated through Cashiers Valley Preschool, Inc, which is current as of 12-06-2023. Permit type – Three Star issued on September 30, 2019 Special Services/Restrictions – Enhanced space, Enhanced ratios, Children under 2 ½ years old cared for in rooms with direct exits only. The last annual compliance visit was conducted on December 15, 2022. The last emergency drill was practiced on October 17, 2023 The last sanitation inspection was conducted on November 30, 2023 with four (4) demerits for a superior rating. The last Fire Inspection was conducted on March 14, 2023. During today’s visit a fire drill was conducted. Meals and snacks are prepared and sent in by the parents. The Emergency Medical Care plan was posted and current. Upon our arrival I introduced my presence to Ms. Johnson and explained the reason for my visit. Children in the group for children ages two through three years of age were observed in the large gross motor room during free play. Children in the group for children ages three through four years of age were observed during a group time activity and lunch and the group for children ages four through five were also observed during group time activities. 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 428 A current activity plan was not posted for each group of children for reference. There was not a activity plan posted in the classroom for children ages two to three years of age. In the classroom for children ages three to four years of age the activity plan posted was not current and was dated 11-27 to 12-01. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the classroom for children ages three to four years of age there was an aerosol can of Rid stored on the shelf above near the sink area. .2820(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. After review of one new teacher's file (CT) it was noted that she was hired on 05-26-2023 but did not complete the required orientation for the first six weeks until 08-04-2023 .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. After review of the Staff and Training Worksheet submitted by the administrator it was noted that one teacher (LA) hired on June 06, 2020 had not completed the required ten hours of training within the required timeframe. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of the Staff and Training Worksheet submitted by the administrator it was noted that three (3) teachers (CT, MW, RF) hired on had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment .1102(g) Technical assistance: Item #428 All groups must have a current activity plan posted. ** I encourage you and your teachers to take the NC Foundations Trainings from Southwestern Child Care Commission to assist with completing activity plans and to ensure that all domains are being met. Trainings can be found at https://www.swcdcinc.org/training 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Item #840 all hazardous items must be stored appropriately. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #1045 All staff members who care for children must complete orientation within the required timeframe. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1052 All teachers must complete the required number of on-going training hours annually after their first year of employment. On-going training hours are calculated based on the teachers dated of hire and must be completed within the second year of employment timeframe. For example if a teacher is hire on August 01, 2023 then the on-going training hours would need to be completed between August 01, 2024 to August 01, 2025. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. Refer to the chart listed in CHAPTER 9 - CHILD CARE RULES under 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Item #1897 Staff members must complete the Recognizing and Responding to Suspicions of Child Maltreatment training immediately. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 before your Winter Break, which the last day for students is 12/15/23. Email the compliance letter on signed letterhead or in 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 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: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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