G.S. 110-90 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 36 Completed Date: 12/11/2025 Age: From 5 To 10 Total Minutes: 145 Time In: 01:05 PM Time Out: 03:30 PM 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of March 25, 2019. The last Annual Compliance Visit was conducted May 20, 2025. The facility has a new Program Coordinator since August, 2025. I arrived early to meet Ms. Burns. Upon arrival, I introduced myself and explained the reason for the visit. Ms. Burns assisted me with the visit. The following items were monitored for compliance today: supervision, staff/child ratio, CPR, First Aid, special training, CBC Qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. A Lockdown drill was conducted November 25, 2025. The last fire drill was conducted on November 25, 2025. The cafeteria is used as the primary space for the program. Activity areas were set in the cafeteria. Activity areas included writing, reading, science, math, manipulatives, art, and board games. A special activity was offered today by a vendor. The children mad buttons. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in arrival procedures, personal care routines, homework activities and snack. The snack menu was posted and in compliance. A current staff and training worksheet was provided and staff files were reviewed to ensure First Aid, CPR, and criminal background checks were current and BSAC training had been completed. The file for one veteran associate was monitored. A violation was cited for Health and Safety Training topics not completed and/or not on file. ABCMS was reviewed December 11, 2025, and is not in compliance. A violation was cited. It was reported that there are two (2) children currently on medication. I reviewed all documentation and monitored the medications. The center is in compliance. The following violations were cited today: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. ABCMS roster on file date 12/11/2025 only lists one staff member. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 2/2/2024 did not have certificates on file for the following five (5) health and safety trainings: Emergency preparedness and response planning for emergencies, Prevention of and response to emergencies due to food and allergic reactions; Administration of medication, with standards for parental consent; Handling and storage of hazardous materials and the appropriate disposal of bio- contaminants; Precautions in transporting children. .1102(a) Compliance Statement: 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. On or before January 8, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. The due date is extended in order to take into account the upcoming CMS school holidays. Please be aware any information submitted by you is considered 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 may be completed. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance DCDEE Website I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Health and Safety Trainings We discussed printing all certificates and keeping them on file. If an associate is having technical problems accessing MOODLE please go to https://www.dcdee.moodle.nc.gov/ and scroll down on the home screen for contacts for technical support. You can also review a slide show to assist you here: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you. MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. New Rules DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. ABCMS (Criminal Background System) All employees should be linked to the ABCMS Portal. I will email you the most current Technical Assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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.

NC GS 110-90 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 36 Completed Date: 12/11/2025 Age: From 5 To 10 Total Minutes: 145 Time In: 01:05 PM Time Out: 03:30 PM 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of March 25, 2019. The last Annual Compliance Visit was conducted May 20, 2025. The facility has a new Program Coordinator since August, 2025. I arrived early to meet Ms. Burns. Upon arrival, I introduced myself and explained the reason for the visit. Ms. Burns assisted me with the visit. The following items were monitored for compliance today: supervision, staff/child ratio, CPR, First Aid, special training, CBC Qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted and permit restrictions. A Lockdown drill was conducted November 25, 2025. The last fire drill was conducted on November 25, 2025. The cafeteria is used as the primary space for the program. Activity areas were set in the cafeteria. Activity areas included writing, reading, science, math, manipulatives, art, and board games. A special activity was offered today by a vendor. The children mad buttons. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed participating in arrival procedures, personal care routines, homework activities and snack. The snack menu was posted and in compliance. A current staff and training worksheet was provided and staff files were reviewed to ensure First Aid, CPR, and criminal background checks were current and BSAC training had been completed. The file for one veteran associate was monitored. A violation was cited for Health and Safety Training topics not completed and/or not on file. ABCMS was reviewed December 11, 2025, and is not in compliance. A violation was cited. It was reported that there are two (2) children currently on medication. I reviewed all documentation and monitored the medications. The center is in compliance. The following violations were cited today: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. ABCMS roster on file date 12/11/2025 only lists one staff member. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. One (1) employee hired 2/2/2024 did not have certificates on file for the following five (5) health and safety trainings: Emergency preparedness and response planning for emergencies, Prevention of and response to emergencies due to food and allergic reactions; Administration of medication, with standards for parental consent; Handling and storage of hazardous materials and the appropriate disposal of bio- contaminants; Precautions in transporting children. .1102(a) Compliance Statement: 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. On or before January 8, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. The due date is extended in order to take into account the upcoming CMS school holidays. Please be aware any information submitted by you is considered 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 may be completed. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance DCDEE Website I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. Health and Safety Trainings We discussed printing all certificates and keeping them on file. If an associate is having technical problems accessing MOODLE please go to https://www.dcdee.moodle.nc.gov/ and scroll down on the home screen for contacts for technical support. You can also review a slide show to assist you here: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. Understanding the New QRIS We discussed that CMS has determined that ASEP programs will complete Pathway 1. We reviewed section .3200 regarding Pathway 1, and you signed the QRIS Pathway Form. A copy was left with you. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. NCRLAP Training We discussed that you can prepare for SACERS by visiting the NC rate License Assessment Project (NCRLAP) website here: https://www.ncrlap.org/. There are training and resources available to assist you. MOODLE Trainings DCDEE has added a new training module about Child Development. The training will provide a basic overview about child development and provide information about resources and professional agencies in North Carolina. DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. DCDEE- I encourage you to utilize DCDEE’s website on a regular basis for updated information regarding rules and regulations, etc. DCDEE’s website address is https://ncchildcare.ncdhhs.gov/. New Rules DCDEE has also added another new training about Child Care Rule Rollout which includes new rules effective July 1, 2025. Both training modules can be found on the DCDEE Moodle Learning Platform at https://www.dcdee.moodle.nc.gov/. In-service training hours are received upon completion of the training sessions. ABCMS (Criminal Background System) All employees should be linked to the ABCMS Portal. I will email you the most current Technical Assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 37 Completed Date: 5/15/2025 Age: From 5 To 10 Total Minutes: 230 Time In: 01:50 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on May 20, 2024. Another annual compliance visit will be conducted after August, 2025, which will move your routine unannounced visit to be conducted in the spring each year. The facility currently operates with a four-star rated license, issued June 7, 2019, earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. Upon arrival I was greeted by N. Lieberman and G. Johnson, associates. Program Coordinator, M. Jenner, was not on site when I arrived today. Ms. Lieberman and Ms. Johnson assisted me with the visit today. I arrived prior to the children’s arrival and was provided with notebooks with the paperwork I needed to review during the annual compliance visit. I was able to speak with Mr. Jenner via phone call, and he directed me to the program and staff notebooks. Mr. Jenner arrived to the site at approximately 4:15 pm. We were able to meet, and he provided additional information needed for the visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet and staff files. The staff and training worksheet was not up to date however I was able to review current information to update the worksheet. I reviewed Health and Safety Training, On-Going Training and First Aid and CPR. I was unable to locate Health and Safety Training certificates to review for staff although the training record was on file. Mr. Jenner assisted me when he arrived and I was able to verify training. See Technical Assistance for more information. All staff at this site have their CBC qualification letter and BSAC. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. A sanitation inspection was conducted May 14, 2025, with zero (0) demerits and a “Superior” classification. The last fire inspection was conducted on February 25, 2025. The last fire drill was conducted on April 21, 202 and the last lockdown / shelter-in-place drill was conducted March 11, 2025, and in compliance. The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. General safety requirements and storage of hazardous materials were monitored. A backpack storing and epi-pen, Benadryl and an insulin needle receptacle were stored on a cart in the cafeteria under five feet and accessible to children. I reviewed the current ASEP bulletin board inside the cafeteria and observed information required to be posted. The staff/child ratio worksheets were not posted, however, are on a clipboard on each cart. Current activity plans were not posted due to an event the school will host tonight. The associates were instructed to remove hanging files with items for Group 1 from a dividing wall for the space to be opened this afternoon. There were four (4) interest centers for Group 2 and two (2) interest centers set up for Group 1. I observed age appropriate and sufficient material available for interest centers. The hanging file was provided for my review. The teacher directed activity plans were observed. The menu was posted and current. It was reported that two children currently have emergency medication. I monitored all emergency medication and found two (2) epi-pens expired. See violations section for details. I monitored the children arriving and at approximately 3:08 pm I observed a child from Group 1 and a child from Group 2 leaving to go to the restroom. Both associates were in the cafeteria and could not see or hear the children in the restroom. Groups 2 & 3 were combined today with twenty-two (22) children and one (1) staff. Supervision and enhanced staff/child ratio were not in compliance. Enhanced ratio was met by 3:30 pm as two children left for the day. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area and found in compliance. The following violations were cited: Violation Number Comment Rule 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. Insulin needle receptacle was observed in a backpack located on a cart in the cafeteria accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was observed stored in a backpack on a cart in the cafeteria accessible to children. Emergency medication was observed stored in a backpack on a cart in the cafeteria accessible to children. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) Epi-Pens were observed. One expired 5/13/2025 and one expired 11/2024. .0803(12) 1424 School-aged children were not adequately supervised. Two (2) children left the cafeteria to go to the restroom. Both associates were observed in the cafeteria and could not see or hear the children in the restroom. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Two groups combined with twenty-two (22) children present and one (1) staff member. 10A NCAC 09 .2818 Compliance Statement: 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 On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor enhanced staff/child ratio and supervision. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance Emergency Medications We discussed creating a spreadsheet or calendar alert to review medication expirations each month. We discussed reviewing all paperwork submitted for emergency medications. Additionally, please review the medication storage requirements in Chapter 9 Child Care Rules. Expired medication rule can be reviewed in 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Health and Safety and On-Going Training Certificates We discussed having all certificates available for review behind each training log. NC School Age Initiative We discussed a great resource for your program. The North Carolina School Age Initiative can be accessed here: https://www.childcarerrnc.org/special-projects/nc-school-age-initiative/ The initiative was established in 2004 to improve the quality and availability of school age care services in North Carolina by increasing the number of licensed programs and the number of programs that voluntarily operate with a higher star-rated license. The program also provides training to school age providers across the state through its online services, and technical assistance. The project team consists of a Statewide School Age Project Manager and Statewide Professional Development Consultants to ensure that all 14 regions have access to project services. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. ABCMS (Criminal Background System): Please make sure you have a current CBC Qualifying Letter for all substitutes prior to working with children. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2818 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 37 Completed Date: 5/15/2025 Age: From 5 To 10 Total Minutes: 230 Time In: 01:50 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on May 20, 2024. Another annual compliance visit will be conducted after August, 2025, which will move your routine unannounced visit to be conducted in the spring each year. The facility currently operates with a four-star rated license, issued June 7, 2019, earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. Upon arrival I was greeted by N. Lieberman and G. Johnson, associates. Program Coordinator, M. Jenner, was not on site when I arrived today. Ms. Lieberman and Ms. Johnson assisted me with the visit today. I arrived prior to the children’s arrival and was provided with notebooks with the paperwork I needed to review during the annual compliance visit. I was able to speak with Mr. Jenner via phone call, and he directed me to the program and staff notebooks. Mr. Jenner arrived to the site at approximately 4:15 pm. We were able to meet, and he provided additional information needed for the visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet and staff files. The staff and training worksheet was not up to date however I was able to review current information to update the worksheet. I reviewed Health and Safety Training, On-Going Training and First Aid and CPR. I was unable to locate Health and Safety Training certificates to review for staff although the training record was on file. Mr. Jenner assisted me when he arrived and I was able to verify training. See Technical Assistance for more information. All staff at this site have their CBC qualification letter and BSAC. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. A sanitation inspection was conducted May 14, 2025, with zero (0) demerits and a “Superior” classification. The last fire inspection was conducted on February 25, 2025. The last fire drill was conducted on April 21, 202 and the last lockdown / shelter-in-place drill was conducted March 11, 2025, and in compliance. The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. General safety requirements and storage of hazardous materials were monitored. A backpack storing and epi-pen, Benadryl and an insulin needle receptacle were stored on a cart in the cafeteria under five feet and accessible to children. I reviewed the current ASEP bulletin board inside the cafeteria and observed information required to be posted. The staff/child ratio worksheets were not posted, however, are on a clipboard on each cart. Current activity plans were not posted due to an event the school will host tonight. The associates were instructed to remove hanging files with items for Group 1 from a dividing wall for the space to be opened this afternoon. There were four (4) interest centers for Group 2 and two (2) interest centers set up for Group 1. I observed age appropriate and sufficient material available for interest centers. The hanging file was provided for my review. The teacher directed activity plans were observed. The menu was posted and current. It was reported that two children currently have emergency medication. I monitored all emergency medication and found two (2) epi-pens expired. See violations section for details. I monitored the children arriving and at approximately 3:08 pm I observed a child from Group 1 and a child from Group 2 leaving to go to the restroom. Both associates were in the cafeteria and could not see or hear the children in the restroom. Groups 2 & 3 were combined today with twenty-two (22) children and one (1) staff. Supervision and enhanced staff/child ratio were not in compliance. Enhanced ratio was met by 3:30 pm as two children left for the day. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area and found in compliance. The following violations were cited: Violation Number Comment Rule 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. Insulin needle receptacle was observed in a backpack located on a cart in the cafeteria accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was observed stored in a backpack on a cart in the cafeteria accessible to children. Emergency medication was observed stored in a backpack on a cart in the cafeteria accessible to children. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) Epi-Pens were observed. One expired 5/13/2025 and one expired 11/2024. .0803(12) 1424 School-aged children were not adequately supervised. Two (2) children left the cafeteria to go to the restroom. Both associates were observed in the cafeteria and could not see or hear the children in the restroom. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Two groups combined with twenty-two (22) children present and one (1) staff member. 10A NCAC 09 .2818 Compliance Statement: 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 On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor enhanced staff/child ratio and supervision. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance Emergency Medications We discussed creating a spreadsheet or calendar alert to review medication expirations each month. We discussed reviewing all paperwork submitted for emergency medications. Additionally, please review the medication storage requirements in Chapter 9 Child Care Rules. Expired medication rule can be reviewed in 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Health and Safety and On-Going Training Certificates We discussed having all certificates available for review behind each training log. NC School Age Initiative We discussed a great resource for your program. The North Carolina School Age Initiative can be accessed here: https://www.childcarerrnc.org/special-projects/nc-school-age-initiative/ The initiative was established in 2004 to improve the quality and availability of school age care services in North Carolina by increasing the number of licensed programs and the number of programs that voluntarily operate with a higher star-rated license. The program also provides training to school age providers across the state through its online services, and technical assistance. The project team consists of a Statewide School Age Project Manager and Statewide Professional Development Consultants to ensure that all 14 regions have access to project services. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. ABCMS (Criminal Background System): Please make sure you have a current CBC Qualifying Letter for all substitutes prior to working with children. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 37 Completed Date: 5/15/2025 Age: From 5 To 10 Total Minutes: 230 Time In: 01:50 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on May 20, 2024. Another annual compliance visit will be conducted after August, 2025, which will move your routine unannounced visit to be conducted in the spring each year. The facility currently operates with a four-star rated license, issued June 7, 2019, earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. Upon arrival I was greeted by N. Lieberman and G. Johnson, associates. Program Coordinator, M. Jenner, was not on site when I arrived today. Ms. Lieberman and Ms. Johnson assisted me with the visit today. I arrived prior to the children’s arrival and was provided with notebooks with the paperwork I needed to review during the annual compliance visit. I was able to speak with Mr. Jenner via phone call, and he directed me to the program and staff notebooks. Mr. Jenner arrived to the site at approximately 4:15 pm. We were able to meet, and he provided additional information needed for the visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet and staff files. The staff and training worksheet was not up to date however I was able to review current information to update the worksheet. I reviewed Health and Safety Training, On-Going Training and First Aid and CPR. I was unable to locate Health and Safety Training certificates to review for staff although the training record was on file. Mr. Jenner assisted me when he arrived and I was able to verify training. See Technical Assistance for more information. All staff at this site have their CBC qualification letter and BSAC. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. A sanitation inspection was conducted May 14, 2025, with zero (0) demerits and a “Superior” classification. The last fire inspection was conducted on February 25, 2025. The last fire drill was conducted on April 21, 202 and the last lockdown / shelter-in-place drill was conducted March 11, 2025, and in compliance. The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. General safety requirements and storage of hazardous materials were monitored. A backpack storing and epi-pen, Benadryl and an insulin needle receptacle were stored on a cart in the cafeteria under five feet and accessible to children. I reviewed the current ASEP bulletin board inside the cafeteria and observed information required to be posted. The staff/child ratio worksheets were not posted, however, are on a clipboard on each cart. Current activity plans were not posted due to an event the school will host tonight. The associates were instructed to remove hanging files with items for Group 1 from a dividing wall for the space to be opened this afternoon. There were four (4) interest centers for Group 2 and two (2) interest centers set up for Group 1. I observed age appropriate and sufficient material available for interest centers. The hanging file was provided for my review. The teacher directed activity plans were observed. The menu was posted and current. It was reported that two children currently have emergency medication. I monitored all emergency medication and found two (2) epi-pens expired. See violations section for details. I monitored the children arriving and at approximately 3:08 pm I observed a child from Group 1 and a child from Group 2 leaving to go to the restroom. Both associates were in the cafeteria and could not see or hear the children in the restroom. Groups 2 & 3 were combined today with twenty-two (22) children and one (1) staff. Supervision and enhanced staff/child ratio were not in compliance. Enhanced ratio was met by 3:30 pm as two children left for the day. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area and found in compliance. The following violations were cited: Violation Number Comment Rule 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. Insulin needle receptacle was observed in a backpack located on a cart in the cafeteria accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was observed stored in a backpack on a cart in the cafeteria accessible to children. Emergency medication was observed stored in a backpack on a cart in the cafeteria accessible to children. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) Epi-Pens were observed. One expired 5/13/2025 and one expired 11/2024. .0803(12) 1424 School-aged children were not adequately supervised. Two (2) children left the cafeteria to go to the restroom. Both associates were observed in the cafeteria and could not see or hear the children in the restroom. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Two groups combined with twenty-two (22) children present and one (1) staff member. 10A NCAC 09 .2818 Compliance Statement: 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 On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor enhanced staff/child ratio and supervision. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance Emergency Medications We discussed creating a spreadsheet or calendar alert to review medication expirations each month. We discussed reviewing all paperwork submitted for emergency medications. Additionally, please review the medication storage requirements in Chapter 9 Child Care Rules. Expired medication rule can be reviewed in 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Health and Safety and On-Going Training Certificates We discussed having all certificates available for review behind each training log. NC School Age Initiative We discussed a great resource for your program. The North Carolina School Age Initiative can be accessed here: https://www.childcarerrnc.org/special-projects/nc-school-age-initiative/ The initiative was established in 2004 to improve the quality and availability of school age care services in North Carolina by increasing the number of licensed programs and the number of programs that voluntarily operate with a higher star-rated license. The program also provides training to school age providers across the state through its online services, and technical assistance. The project team consists of a Statewide School Age Project Manager and Statewide Professional Development Consultants to ensure that all 14 regions have access to project services. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. ABCMS (Criminal Background System): Please make sure you have a current CBC Qualifying Letter for all substitutes prior to working with children. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 37 Completed Date: 5/15/2025 Age: From 5 To 10 Total Minutes: 230 Time In: 01:50 PM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. The last annual compliance visit was conducted on May 20, 2024. Another annual compliance visit will be conducted after August, 2025, which will move your routine unannounced visit to be conducted in the spring each year. The facility currently operates with a four-star rated license, issued June 7, 2019, earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. Upon arrival I was greeted by N. Lieberman and G. Johnson, associates. Program Coordinator, M. Jenner, was not on site when I arrived today. Ms. Lieberman and Ms. Johnson assisted me with the visit today. I arrived prior to the children’s arrival and was provided with notebooks with the paperwork I needed to review during the annual compliance visit. I was able to speak with Mr. Jenner via phone call, and he directed me to the program and staff notebooks. Mr. Jenner arrived to the site at approximately 4:15 pm. We were able to meet, and he provided additional information needed for the visit. The current Public-School Off-Site Verification Form for Staff Records, Children's Record and Transportation was signed and on file with each current staff listed and all current children enrolled listed for after school. I reviewed the current Staff and Training Worksheet and staff files. The staff and training worksheet was not up to date however I was able to review current information to update the worksheet. I reviewed Health and Safety Training, On-Going Training and First Aid and CPR. I was unable to locate Health and Safety Training certificates to review for staff although the training record was on file. Mr. Jenner assisted me when he arrived and I was able to verify training. See Technical Assistance for more information. All staff at this site have their CBC qualification letter and BSAC. Program records were monitored. The emergency drill log was reviewed and found meeting compliance. A sanitation inspection was conducted May 14, 2025, with zero (0) demerits and a “Superior” classification. The last fire inspection was conducted on February 25, 2025. The last fire drill was conducted on April 21, 202 and the last lockdown / shelter-in-place drill was conducted March 11, 2025, and in compliance. The playground inspections were reviewed and found in compliance. The incident log was reviewed and found in compliance. General safety requirements and storage of hazardous materials were monitored. A backpack storing and epi-pen, Benadryl and an insulin needle receptacle were stored on a cart in the cafeteria under five feet and accessible to children. I reviewed the current ASEP bulletin board inside the cafeteria and observed information required to be posted. The staff/child ratio worksheets were not posted, however, are on a clipboard on each cart. Current activity plans were not posted due to an event the school will host tonight. The associates were instructed to remove hanging files with items for Group 1 from a dividing wall for the space to be opened this afternoon. There were four (4) interest centers for Group 2 and two (2) interest centers set up for Group 1. I observed age appropriate and sufficient material available for interest centers. The hanging file was provided for my review. The teacher directed activity plans were observed. The menu was posted and current. It was reported that two children currently have emergency medication. I monitored all emergency medication and found two (2) epi-pens expired. See violations section for details. I monitored the children arriving and at approximately 3:08 pm I observed a child from Group 1 and a child from Group 2 leaving to go to the restroom. Both associates were in the cafeteria and could not see or hear the children in the restroom. Groups 2 & 3 were combined today with twenty-two (22) children and one (1) staff. Supervision and enhanced staff/child ratio were not in compliance. Enhanced ratio was met by 3:30 pm as two children left for the day. During the visit, children were observed in the indoor learning environment, eating snacks and participating in learning center and homework. Nurturing and caring tones were observed as the staff interacted with the children. It was reported that the children play on the black top outside the cafeteria. I observed the area and found in compliance. The following violations were cited: Violation Number Comment Rule 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. Insulin needle receptacle was observed in a backpack located on a cart in the cafeteria accessible to children. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was observed stored in a backpack on a cart in the cafeteria accessible to children. Emergency medication was observed stored in a backpack on a cart in the cafeteria accessible to children. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Two (2) Epi-Pens were observed. One expired 5/13/2025 and one expired 11/2024. .0803(12) 1424 School-aged children were not adequately supervised. Two (2) children left the cafeteria to go to the restroom. Both associates were observed in the cafeteria and could not see or hear the children in the restroom. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. Two groups combined with twenty-two (22) children present and one (1) staff member. 10A NCAC 09 .2818 Compliance Statement: 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 On or before May 29, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. A follow-up visit will be conducted to monitor enhanced staff/child ratio and supervision. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Please email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance Emergency Medications We discussed creating a spreadsheet or calendar alert to review medication expirations each month. We discussed reviewing all paperwork submitted for emergency medications. Additionally, please review the medication storage requirements in Chapter 9 Child Care Rules. Expired medication rule can be reviewed in 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Health and Safety and On-Going Training Certificates We discussed having all certificates available for review behind each training log. NC School Age Initiative We discussed a great resource for your program. The North Carolina School Age Initiative can be accessed here: https://www.childcarerrnc.org/special-projects/nc-school-age-initiative/ The initiative was established in 2004 to improve the quality and availability of school age care services in North Carolina by increasing the number of licensed programs and the number of programs that voluntarily operate with a higher star-rated license. The program also provides training to school age providers across the state through its online services, and technical assistance. The project team consists of a Statewide School Age Project Manager and Statewide Professional Development Consultants to ensure that all 14 regions have access to project services. Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. ABCMS (Criminal Background System): Please make sure you have a current CBC Qualifying Letter for all substitutes prior to working with children. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0802 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 27 Completed Date: 5/20/2024 Age: From 6 To 11 Total Minutes: 145 Time In: 01:50 PM Time Out: 04:15 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility’s last annual compliance visit was conducted September 5, 2023 however, the facility is closed during the summer and the 2024-25 school year does not begin until August 26, 2024, an annual visit was conducted today to ensure the annual compliance is conducted before September 5, 2024. Program Coordinator, M. Jenner assisted me with the visit. The facility currently operates with a four-star rated license, issued June 7, 2019 earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. A sanitation inspection was conducted May 16, 2024 with a “Superior” classification. The last fire inspection was conducted on August 9, 2023. The last fire drill was conducted May 17, 2024. Lockdown and shelter-in-place drills were conducted March 6, 2024. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children use the cafeteria as their primary space. Activity areas such as, writing, manipulatives, math, social studies and arts and crafts are set up in the cafeteria. Children were observed participating in arrival procedures, personal care routines, free choice of activity centers, teacher directed activities and snack. Snack consisted of whole grain strawberry graham crackers and 100% apple juice. Staff were observed interacting with children in a nurturing and caring manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. The Staff and Training Worksheet was received today. The worksheet was used to verify required documents were present in each file. One new staff member has been hired since the last visit conducted on September 5, 2023. The were two violations cited today. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan posted in the ASEP office had names listed however, the names listed were not current. .0802(a)(1)(A-B); 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. One new staff member did not have verification on file that Recognizing and Responding to Suspicions of Child Maltreatment training was completed within 90 days of hire date. The training was due May 2, 2024. .1102(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before June 3, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -New staff must complete Recognizing and Responding Suspicions of Child Maltreatment Training within 90 days of hire date. A conversation was held with the Program Coordinator regarding the new staff member’s training. The training was due by May 2, 2024. 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. -When the Emergency Medical Care plan (EMC) is updated, previous EMC plans shall not be posted however, must be kept on file for a minimum of one year after record created, revised, or replaced. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1102 · Violation

Name of Operation: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 27 Completed Date: 5/20/2024 Age: From 6 To 11 Total Minutes: 145 Time In: 01:50 PM Time Out: 04:15 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility’s last annual compliance visit was conducted September 5, 2023 however, the facility is closed during the summer and the 2024-25 school year does not begin until August 26, 2024, an annual visit was conducted today to ensure the annual compliance is conducted before September 5, 2024. Program Coordinator, M. Jenner assisted me with the visit. The facility currently operates with a four-star rated license, issued June 7, 2019 earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. A sanitation inspection was conducted May 16, 2024 with a “Superior” classification. The last fire inspection was conducted on August 9, 2023. The last fire drill was conducted May 17, 2024. Lockdown and shelter-in-place drills were conducted March 6, 2024. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children use the cafeteria as their primary space. Activity areas such as, writing, manipulatives, math, social studies and arts and crafts are set up in the cafeteria. Children were observed participating in arrival procedures, personal care routines, free choice of activity centers, teacher directed activities and snack. Snack consisted of whole grain strawberry graham crackers and 100% apple juice. Staff were observed interacting with children in a nurturing and caring manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. The Staff and Training Worksheet was received today. The worksheet was used to verify required documents were present in each file. One new staff member has been hired since the last visit conducted on September 5, 2023. The were two violations cited today. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan posted in the ASEP office had names listed however, the names listed were not current. .0802(a)(1)(A-B); 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. One new staff member did not have verification on file that Recognizing and Responding to Suspicions of Child Maltreatment training was completed within 90 days of hire date. The training was due May 2, 2024. .1102(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before June 3, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -New staff must complete Recognizing and Responding Suspicions of Child Maltreatment Training within 90 days of hire date. A conversation was held with the Program Coordinator regarding the new staff member’s training. The training was due by May 2, 2024. 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. -When the Emergency Medical Care plan (EMC) is updated, previous EMC plans shall not be posted however, must be kept on file for a minimum of one year after record created, revised, or replaced. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: PROVIDENCE SPRING ELEMENTARY ASEP Facility ID: 60002023 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 27 Completed Date: 5/20/2024 Age: From 6 To 11 Total Minutes: 145 Time In: 01:50 PM Time Out: 04:15 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 your program for compliance with applicable child care requirements for an annual compliance visit. The facility’s last annual compliance visit was conducted September 5, 2023 however, the facility is closed during the summer and the 2024-25 school year does not begin until August 26, 2024, an annual visit was conducted today to ensure the annual compliance is conducted before September 5, 2024. Program Coordinator, M. Jenner assisted me with the visit. The facility currently operates with a four-star rated license, issued June 7, 2019 earning 7 points in the education component, 3 points in the program standards component and 1 quality point by offering a staff benefits package, infrastructure of parent involvement and having approved enhanced policies. A sanitation inspection was conducted May 16, 2024 with a “Superior” classification. The last fire inspection was conducted on August 9, 2023. The last fire drill was conducted May 17, 2024. Lockdown and shelter-in-place drills were conducted March 6, 2024. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children use the cafeteria as their primary space. Activity areas such as, writing, manipulatives, math, social studies and arts and crafts are set up in the cafeteria. Children were observed participating in arrival procedures, personal care routines, free choice of activity centers, teacher directed activities and snack. Snack consisted of whole grain strawberry graham crackers and 100% apple juice. Staff were observed interacting with children in a nurturing and caring manner. Public School Off-Site Records Verification forms for staff and children for the 2023-2024 school year was reviewed today. The Staff and Training Worksheet was received today. The worksheet was used to verify required documents were present in each file. One new staff member has been hired since the last visit conducted on September 5, 2023. The were two violations cited today. Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan posted in the ASEP office had names listed however, the names listed were not current. .0802(a)(1)(A-B); 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. One new staff member did not have verification on file that Recognizing and Responding to Suspicions of Child Maltreatment training was completed within 90 days of hire date. The training was due May 2, 2024. .1102(g) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before June 3, 2024, 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 considered 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 may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -New staff must complete Recognizing and Responding Suspicions of Child Maltreatment Training within 90 days of hire date. A conversation was held with the Program Coordinator regarding the new staff member’s training. The training was due by May 2, 2024. 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. -When the Emergency Medical Care plan (EMC) is updated, previous EMC plans shall not be posted however, must be kept on file for a minimum of one year after record created, revised, or replaced. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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