G.S. 110-90 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 33 Completed Date: 10/16/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 11:45 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety. Your last annual compliance visit was completed on November 5, 2024. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on October 15, 2025, and your business Cline Learning Inc was listed as active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a three (3) star rated license issued on April 2, 2019, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care) and meets enhanced ratios. A walkthrough was completed and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during naptime, diapering/toileting, handwashing, snack, indoor free play, teacher-directed activities and outdoor gross motor play. Inspections/Drills: The last fire inspection was completed on February 24, 2025. The last sanitation inspection was completed on July 21, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last monthly fire drill was completed on October 7, 2025, at 10:10am. The last emergency drill was a lockdown completed on September 8, 2025, at 8:30am. The last playground inspection was completed on October 16, 2025. The last Emergency Preparedness and Response Plan was completed on October 18, 2022. Lead and Asbestos Testing: The last lead water test was completed on February 20, 2024. Your next lead water test is due by February 20, 2027. The lead-based paint survey has been reviewed by RTI, and the test results are pending. The last asbestos test was completed on March 20, 2024. Files Reviewed: Children’s files, staff files, and program files were monitored. You stated one (1) staff member has been hired since the last visit. Three (3) children’s files were reviewed. One (1) existing staff file and one (1) new staff file were reviewed. The Staff and Training Worksheet was unavailable. A reminder was sent to you on 09/25/25, 10/06/2025, and 10/15/2025. I discussed with you the Children’s Record form with you, and it was completed and verified during the visit. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violations were observed: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child, enrolled on September 3, 2025, had a written feeding plan that did not include the parent signature. .0902(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member, employed on October 1, 2018, had an Emergency Information form dated October 11, 2024, on file and available for review. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One (1) staff member, Tasha Huskey, employed on October 1, 2018, had a qualifying letter on file that expired on October 13, 2025. The staff member did not begin the process until October 7, 2025 and is still in process. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member employed on June 20, 2025, did not have a First Aid certification on file and available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member employed on June 20, 2025, did not have a CPR certification on file, and available for review. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member, Tasha Huskey, employed on October 1, 2018, did not have a current qualifying letter on file and available for review. The qualifying letter on file had an expired on October 13, 2025. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response Plan was dated October 18, 2022. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member employed on October 1, 2018, had six(6) of the eleven (11) required trainings on file and available for review. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One (1) child enrolled on September 15, 2025, did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file and available for review. .0608(b)(1-6) Consultation: Quality Rating Improvement System (QRIS) Modernization We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I reviewed and discussed with you Pathway #1, and Pathway #2. This information can also be reviewed by visiting our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Programs will need to apply between April 2026 and September 2026 to complete the reassessment with the new QRIS system. You stated the facility will pursue Pathway #1, Program Assessment. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Health & Safety Trainings All staff must complete on-going health and safety trainings every five years. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. Automated Background Check Management System (ABCMS) The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: The program’s compliance history was eighty-eight percent (88%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 30, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .0701 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 41 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:25 AM Time Out: 02:15 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 all applicable child care requirements for a routine unannounced visit. Your last annual compliance visit was conducted on November 5, 2024. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on June 10, 2025, and Cline Learning Centers, Inc. was listed active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a three (3) star rated license issued on April 2, 2019, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care) and meets enhanced ratios. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during teacher indoor free play, outdoor gross motor play, toileting/diapering, handwashing, lunch and naptime. Inspections/Drills: The last fire inspection was completed on February 24, 2025. The last sanitation inspection was completed on December 12, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last monthly fire drill was completed on April 28, 2025, at 9:05am. The last emergency drill was a shelter-in-place completed on February 28, 2025, at 10:15am. The last playground inspection was completed on April 17, 2025. The Emergency Preparedness Plan on file was completed on October 18, 2022. Lead and Asbestos Testing: The last lead water test was completed on February 20, 2024. Your next lead water test is due by February 20, 2027. The last lead-based paint test results are in progress. The last asbestos test was completed on March 20, 2024. Files Reviewed: Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. You stated four (4) staff have been hired since the last visit. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on April 28, 2025, at 9:05am. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on April 17, 2025. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on February 4, 2025, did not have a medical report on file and available for review. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member employed on February 4, 2025, completed First Aid training on June 3, 2025. The employee was due to complete First Aid training by May 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member employed on February 4, 2025, completed CPR training on June 3, 2025. The employee was due to complete CPR training by May 4, 2025. .1102(d) 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. Thirteen (13) current staff members were not entered into the Automated Background Check Management System (ABCMS) to notify the Division. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill, a shelter-in-place, was completed on February 28, 2025, at 10:15am. An emergency drill, a shelter-in-place or lockdown, was due to be completed by May 28, 2025. .0604(u);.0302(d)(8) Technical Assistance provided on violations cited: Playground Inspection: A playground inspection must be completed each month. I suggested that you complete the playground inspection report while you are actively completing a playground inspection to ensure the playground inspection is recorded and on file for review. Fire Drill: A fire drill must be completed monthly. I suggested you place a reminder on your calendar to alert you to complete time-sensitive tasks. I suggested you complete a fire drill soon. Staff Medical Report: A medical report must be completed for each staff member prior to employment. I suggested you use a calendar along with your Staff and Training Worksheet to track staff records and ensure documents are completed by the required date. I reviewed with you the Staff and Training Worksheet – Instructions document. The document can also be accessed on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. You stated the staff member has an appointment scheduled on June 20, 2025 to have the medical report completed. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document, and provided you with a copy of the document during the visit. CPR & First Aid Training: I discussed with you periodically reviewing all staff files to ensure the required documentation is on file and available for review. I suggested you use a calendar along with your Staff and Training Worksheet to track staff records and ensure documents are completed by the required date. I reviewed with you the Staff and Training Worksheet – Instructions document. The document can also be accessed on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. This was corrected during the visit by the staff member having a current CPR & First Aid Training certificate on file and available for review. Emergency Drills: Emergency Drills, a shelter-in-place or a lockdown drill, must be practiced every three months, recorded, and available for review. I suggested you place a reminder on your calendar to alert you to complete time-sensitive tasks, and to ensure emergency drills are practiced every three months. I also suggested you complete an emergency drill as soon as possible. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Reminders & Resources: -Fire Inspections: You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. -Health & Safety Trainings: All staff must complete on-going health and safety trainings every five years. -Lead Water Testing: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. Steps to Access the ABCMS System: 1. Go to the DCDEE Website Home Page 2. Click on the Tab for Services 3. Click on the link for Background Checks 4. Click on the link for Child Care Background Checks and follow the instruction provided If you have any questions or concerns before proceeding in linking your child care facility and staff to the ABCMS System, please contact the CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov or DCDEE_ABCMS_Provider@dhhs.nc.gov. -DCDEE Website: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 25, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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.

G.S. 110-90 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 41 Completed Date: 6/11/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:25 AM Time Out: 02:15 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 all applicable child care requirements for a routine unannounced visit. Your last annual compliance visit was conducted on November 5, 2024. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on June 10, 2025, and Cline Learning Centers, Inc. was listed active and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a three (3) star rated license issued on April 2, 2019, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The license was posted, and the permit restrictions were in compliance including: 1st shift (daytime care) and meets enhanced ratios. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during teacher indoor free play, outdoor gross motor play, toileting/diapering, handwashing, lunch and naptime. Inspections/Drills: The last fire inspection was completed on February 24, 2025. The last sanitation inspection was completed on December 12, 2024. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last monthly fire drill was completed on April 28, 2025, at 9:05am. The last emergency drill was a shelter-in-place completed on February 28, 2025, at 10:15am. The last playground inspection was completed on April 17, 2025. The Emergency Preparedness Plan on file was completed on October 18, 2022. Lead and Asbestos Testing: The last lead water test was completed on February 20, 2024. Your next lead water test is due by February 20, 2027. The last lead-based paint test results are in progress. The last asbestos test was completed on March 20, 2024. Files Reviewed: Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. You stated four (4) staff have been hired since the last visit. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on April 28, 2025, at 9:05am. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on April 17, 2025. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member, employed on February 4, 2025, did not have a medical report on file and available for review. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member employed on February 4, 2025, completed First Aid training on June 3, 2025. The employee was due to complete First Aid training by May 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member employed on February 4, 2025, completed CPR training on June 3, 2025. The employee was due to complete CPR training by May 4, 2025. .1102(d) 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. Thirteen (13) current staff members were not entered into the Automated Background Check Management System (ABCMS) to notify the Division. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill, a shelter-in-place, was completed on February 28, 2025, at 10:15am. An emergency drill, a shelter-in-place or lockdown, was due to be completed by May 28, 2025. .0604(u);.0302(d)(8) Technical Assistance provided on violations cited: Playground Inspection: A playground inspection must be completed each month. I suggested that you complete the playground inspection report while you are actively completing a playground inspection to ensure the playground inspection is recorded and on file for review. Fire Drill: A fire drill must be completed monthly. I suggested you place a reminder on your calendar to alert you to complete time-sensitive tasks. I suggested you complete a fire drill soon. Staff Medical Report: A medical report must be completed for each staff member prior to employment. I suggested you use a calendar along with your Staff and Training Worksheet to track staff records and ensure documents are completed by the required date. I reviewed with you the Staff and Training Worksheet – Instructions document. The document can also be accessed on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. You stated the staff member has an appointment scheduled on June 20, 2025 to have the medical report completed. Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document, and provided you with a copy of the document during the visit. CPR & First Aid Training: I discussed with you periodically reviewing all staff files to ensure the required documentation is on file and available for review. I suggested you use a calendar along with your Staff and Training Worksheet to track staff records and ensure documents are completed by the required date. I reviewed with you the Staff and Training Worksheet – Instructions document. The document can also be accessed on the DCDEE website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. This was corrected during the visit by the staff member having a current CPR & First Aid Training certificate on file and available for review. Emergency Drills: Emergency Drills, a shelter-in-place or a lockdown drill, must be practiced every three months, recorded, and available for review. I suggested you place a reminder on your calendar to alert you to complete time-sensitive tasks, and to ensure emergency drills are practiced every three months. I also suggested you complete an emergency drill as soon as possible. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Reminders & Resources: -Fire Inspections: You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. -Health & Safety Trainings: All staff must complete on-going health and safety trainings every five years. -Lead Water Testing: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. Steps to Access the ABCMS System: 1. Go to the DCDEE Website Home Page 2. Click on the Tab for Services 3. Click on the link for Background Checks 4. Click on the link for Child Care Background Checks and follow the instruction provided If you have any questions or concerns before proceeding in linking your child care facility and staff to the ABCMS System, please contact the CBC Unit at 919.814.6401 or by email at DHHS.CBC.Unit@dhhs.nc.gov or DCDEE_ABCMS_Provider@dhhs.nc.gov. -DCDEE Website: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by June 25, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 40 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was completed on October 16, 2023. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on November 5, 2024, and Cline Learning Centers, Inc. was listed as current and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a three (3) star rated license issued on April 2, 2019, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: 1st shift and meets enhanced ratios. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during teacher directed activities and outdoor gross motor play. Inspections/Drills: The last fire inspection was completed on February 26, 2024. The fire inspection needed to be completed by January 24, 2024. The last sanitation inspection was completed on December 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on September 23, 2024, at 10:45am. The last emergency drill was a shelter in place drill completed on September 6, 2024, at 10:40am. The last playground inspection was completed on September 30, 2024. The Emergency Preparedness Plan on file was completed on October 12, 2022. Lead Testing: The last lead water test was completed on February 20, 2024. Your next lead water test is due by February 20, 2027. Files Reviewed: Children’s files, staff files, and program files were monitored. Five (5) children’s files were reviewed. Five (5) new staff files and one existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #4, the medication authorization for one (1) tube of Diazepam gel medication was valid October 23,2023 to October 23, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed: Medication I suggested that you complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. Fire Inspection: I suggested you create a calendar reminder to alert you to time-sensitive tasks. This was corrected during the visit by providing a current fire inspection. Children’s Records I suggested creating a process to review children’s records prior to their first day of enrollment to ensure all documents are complete and on file for review. This was corrected during the visit by the parent completing the Discipline Acknowledgement form. Consultation: Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint and asbestos testing. Reminders & Resources: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. You must complete on-going health and safety trainings every five years. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was ninety percent (82%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 19, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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.

NC GS 110-90 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 40 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Your last annual compliance visit was completed on October 16, 2023. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on November 5, 2024, and Cline Learning Centers, Inc. was listed as current and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a three (3) star rated license issued on April 2, 2019, earning four (4) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s license restrictions include the following: 1st shift and meets enhanced ratios. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. A checklist was used to note the requirements I monitored. Staff and children were observed during teacher directed activities and outdoor gross motor play. Inspections/Drills: The last fire inspection was completed on February 26, 2024. The fire inspection needed to be completed by January 24, 2024. The last sanitation inspection was completed on December 14, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last monthly fire drill was completed on September 23, 2024, at 10:45am. The last emergency drill was a shelter in place drill completed on September 6, 2024, at 10:40am. The last playground inspection was completed on September 30, 2024. The Emergency Preparedness Plan on file was completed on October 12, 2022. Lead Testing: The last lead water test was completed on February 20, 2024. Your next lead water test is due by February 20, 2027. Files Reviewed: Children’s files, staff files, and program files were monitored. Five (5) children’s files were reviewed. Five (5) new staff files and one existing staff file were reviewed. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #4, the medication authorization for one (1) tube of Diazepam gel medication was valid October 23,2023 to October 23, 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed: Medication I suggested that you complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. Fire Inspection: I suggested you create a calendar reminder to alert you to time-sensitive tasks. This was corrected during the visit by providing a current fire inspection. Children’s Records I suggested creating a process to review children’s records prior to their first day of enrollment to ensure all documents are complete and on file for review. This was corrected during the visit by the parent completing the Discipline Acknowledgement form. Consultation: Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, lead-based paint and asbestos testing. Reminders & Resources: Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. You must complete on-going health and safety trainings every five years. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. Compliance History: The program’s compliance history was ninety percent (82%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by November 19, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0803 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0901 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0902 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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. 0803 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0508 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0802 · Violation

Name of Operation: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: CLINE LEARNING CENTER OF CHERRYVILLE I Facility ID: 36000585 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 41 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 260 Time In: 10:00 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Shannon Mooney, Administrator, assisted me with the visit. Tammy McGalliard, Licensing Supervisor, accompanied on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a three star license effective April 2, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 16, 2023, and your business Cline Learning, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance/out of compliance. Children throughout the facility were participating in outdoor play time, meal time and rest time. Infants were engaged in free play and napping activities. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of five children’s files were reviewed. One new staff file was reviewed. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 6/6/23. The last lockdown drill was practiced on 8/7/23. The last monthly playground inspection was completed on 9/29/23. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with eight demerits. The most recent fire inspection for your facility was conducted on January 24, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Nine children were not signed out of care on 9/29/23. 10A NCAC 09 .0302(d)(4) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In Space #1, there were no plans for books/language development for three days of the week's activity plan. .0508(g)(2) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu was not completed and posted. 10A NCAC 09 .0901(b) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #3A, the infant feeding plan for one infant eight months of age, was not signed and dated by the parent. The infant feeding plan for one infant, nine months of age, was not signed by the parent and the date documented on the form was May 24, 2023 and it was marked through. .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was completed 6/6/23. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space #1, one permission form listed diaper cream, rather than the name of the specific ointment. One permission to administer Diazepam expired 7/31/22. In space #2, one Nystatin prescription cream was missing a parent signature and length of time the authorization was valid. In space #2, one permission form listed diaper cream , rather than the name of the specific ointment. In space #3B, one permission form for Vaseline did not include the criteria for when to administer. In space #4, one permission form for Cortizone 10 did not include the criteria for when to administer. 10A NCAC 09 .0803(4)(6-9) 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. In space #1, one permission for Parent’s Choice diaper ointment expired 5/3/22. One permission for Bourdreaux’s Butt Paste expired 5/6/23. One permission for Equate Sunscreen Sport expired 1/10/23. Space #2, one bottle of Vaseline and one tube of Aquaphor did not have permission to administer form. In space #3B, one permission for A and D ointment expired 10/12/23. In space #4, one permission for Aquaphor was given 6/23/22 and expired 6/23/23. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident report forms from 1/10/23, 1/23/23, 4/13/23, 6/9/23, 6/26/23,6/27/23,8/3/23, 8/8/23, 8/24/23, 9/12/23, 9/18/23 and 9/25/23 did not have all the required information on the forms. .0802 (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. In space #2A and 2B, broken crayons were in a hard plastic storage contained sitting on a shelf in the art center accessible to children two years of age. In space #2A and 2B, 6 plastic packages of wipes with suffocation warnings were accessible to children two years of age. In space 3A, trash bags and diaper plastic packaging were accessible to children under one year of age. In space #3B, plastic bags with suffocation warnings were accessible to children one and two years of age. .0604(q) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child enrolled on May 1, 2021, had emergency medical information on file that was last updated on March 27, 2022. One child enrolled on October 4, 2021, had emergency information on file that was last completed on October 4, 21. No annual updates were completed since enrollment. One child enrolled on March 1, 2021, had emergency information on file that was last completed on March 1, 2021. No annual updates were completed since enrollment. .0802(c) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on March 1, 2021, did not have an immunization record on file until April 23, 2021. 10A NCAC 09 .0302(d)(2) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One medical action plan for Diazepam rectal gel did not have all the required information and expired 1/19/23. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. One prescription sample of Peri Guard was not stored in the manufacturer's original packaging and did not include written instructions with required information. 10A NCAC 09 .0803(2)(b)(i-v) Consultation was provided on the following: The violation(s) documented must be corrected immediately. On or before October 30, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Daily Records of Arrival and Departure: We discussed daily sign in and out documentation requirements. You need to develop a plan to ensure that parents or staff have signed children in and out as they arrive and depart. Develop a plan for reviewing these records daily to confirm compliance. Accurate records must be maintained as required. I suggested that each assigned classroom teacher be responsible for making sure these records are completed in their classroom. 10A NCAC 09 .0302(d)(4) Activity Plan Components: We reviewed the activity plan with you and the lead teacher and pointed out the issues of non-compliance. Have staff submit their activity plans to you for review prior to the start date listed on the activity plan. 10A NCAC 09.0508(g)(2) Menus: We reviewed the requirement that menus must be planned at least one week in advance. A current menu must be posted for parents to be able to review. The menu must have a current date including the month, day, and year. Staff reported that this week’s menu is being developed during the visit. 10A NCAC 09 .0901(b) Infant Feeing Plans: When parents complete the written feeding plan and return it to the facility, the date the facility received the written feeding plan must be listed. Please review forms as parents complete them and prior to the child enrolling. 10A NCAC 09 .0902(a) Monthly Fire Drills: We discussed that fire drills must be completed monthly and documented as required. I suggested that you choose a certain date monthly to complete the fire drill. Place reminders on your calendar. You reported that you have been needed in the classroom and this requirement has gotten behind. 10A NCAC 09 .0604 (t) .0302(d)(5) Medication Administration: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) Medication Permission: Medicines, creams or topical ointments must be returned to the parent or discarded after the authorization has expired. If the medication is still being used, a new permission form must be signed. We discussed having a staff member to look at medications/topical ointment permissions on a regular basis to help maintain compliance. 10A NCAC 09 .0803(12) Incident Reports: Incident reports must list all the information required by child care requirement .0802(e). This includes the signature of the parent, date the parent signed the report, the facility’s identification number, and the signature of the person completing the report. I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. Incident reports need to be logged and a copy placed in the child’s file. 10A NCAC 09.0802(e) Plastic Packaging: Plastic packaging may not be accessible to children under 3 years of age. Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags, plastic packaging, sponges, foam rubber, small toy parts and other possible choking hazards. All plastic in Space #2, #3A and #3B were moved to higher than 5 feet above the floor. This violation was corrected during the visit. 10A NCAC 09 .0604(q) Emergency Medical Information: Emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur or at least annually for each child. I reminded you to have parents complete an updated Child’s Application for Enrollment anytime changes occur, especially when a Medical Action Plan is issued after enrollment. 10A NCAC 09.0802(c) Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. We discussed having parents to provide immunization record before enrollment when possible. 10A NCAC 09 .0302(d)(2) GS 110-91(1). Medical Action Plan: The medical action plan must contain all the required information, must be updated on an annual basis or when changes to the plan occur. We discussed that staff should review all the medical action plan information returned with the parent to ensure accurate information is provided. 10A NCAC 09 .0801(b)(1-4) Pharmaceutical Samples: Prescribed medicines, that are pharmaceutical samples, must be stored in the manufacturers original packaging, labeled with the child's name, and include written instructions with the required information. 10A NCAC 09. 0803(2)(b)(i-v) Consultation or other topics discussed today: We discussed manufacturer’s Instructions for the three new pieces of outdoor play equipment that was recently purchases. We requested that you contact the company that the equipment was purchased from and installed by for specific information on each piece purchased. The instructions must be maintained on file electronically or in paper format by the facility. We discussed storage options for magic markers in space #2A and 2B. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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