Riverbend After School Care

10A NCAC 09 .0901 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 12 Completed Date: 9/17/2025 Age: From 5 To 11 Total Minutes: 153 Time In: 02:42 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Ivy Talor, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Layna Cope, Administrator. Ms. Taylor was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 9/8/25. The last lockdown drill was practiced on 9/11/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on June 19, 2025 without hazards. Lead paint and asbestos testing was completed, and the program is exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I started with the children’s files and staff files. All staff member’s files were monitored due to missing information on the Staff and Training Worksheet. Off-site verification form for staff members was not completed. I printed the form and left it on-site. At 2:50 am, children started to arrive. A total of twelve (12) children were present with two (2) staff members. The children completed their homework in the cafeteria, then played on the playground. When they returned inside, the children stopped at the bathroom, washed their hands and returned to the cafeteria for snacks. Today, peanut butter and honey sandwich, a check stick, apple sauce, milk or chocolate milk and a bag of cauliflowers were served. On the menu, uncrusted sandwich, cheese sticks, broccoli, peach cup and milk were listed. After snacks, Ms. Ivy took five (5) children to the gym, and a group leader supervised coloring activity in the cafeteria. Playground was monitored for safety hazards. No medications were maintained for this program. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. For snacks, peanut butter and honey sandwich, a cheese sticks, apple sauce, a bag of cauliflower, milk were served. However, on the menu, peach cup and broccolis were listed. No substitution items were written on the menu. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The base coating on the second step of the slide structure on the playground has peeled and created a pocket where a child's foot can be stuck. G.S. 110-91(6); .0601(b) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. The staff member who was employed on 5/17/24 did not complete "Medication in Child Care" training. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Technical assistance was provided as follows: 528: Substitution items Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. Refer to .0901(b). To comply, please write down the food items that were substituted on the menu prior to snack time, or post the substitute items where parents can see. In your compliance letter, please state how you met the compliance. 807: safe environment Safe indoor and outdoor environment must be provided to the children. The coating on the second steps on the slide structure is peeling and creating a pocket where a child’s foot can be trapped. To comply, you can peel the coating and re-apply equivalent materials or apply glue or additional sealant to close the pocket. Please consult with maintenance personnel. In your compliance letter, please state how you met the compliance. 1033: Tuberculosis screening On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week must provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. The questionnaires on the TB form must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. Directors, operators, additional caregivers, substitutes, and individuals who volunteer more than once a week must be screened. Testing should only be performed if the individual answers “yes” to one of the screening questions. To comply, the questionnaires on the TB form must be administered, filled out, and signed by a health care professional. In your compliance letter, please state the date when the staff member submitted the signed TB form. 1053: Health and Safety training topics Staff members must complete eight (8) topic areas of health and safety training within one (1) year of employment and five (5) years thereafter. (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; Precautions in transporting children trianing is only required if applicable. CPR/First Aid and Recognizing and reporting child abuse, child neglect, and child maltreatment must be completed within ninety (90) days of employment. Prevention of sudden infant death syndrome and use of safe sleeping practices is not required for School-age only programs. To comply, IT must complete Medication in Child Care training within the next two (2) weeks. In your compliance letter, please state the date the staff member completed the training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I did not discuss QIRS with Ms. Cope during today’s visit due to time constraints. I will reach out to you via email and schedule a Technical Assistance visit. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110- 91 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 17 Completed Date: 3/19/2025 Age: From 6 To 11 Total Minutes: 158 Time In: 02:22 PM Time Out: 05:00 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ivy Taylor, Program Coordinator, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. A copy of signed visit summary was emailed to Layna Cope, Administrator. Ms. Talor was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of today prior to this visit. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 9/25/24. The last fire drill was practiced on 2/3/25. The last lockdown drill was practiced on 3/4/25. The last fire inspection was approved on 8/27/24. The last sanitation inspection was conducted on 12/17/24 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was present, but no incident has been recorded. Upon arrival, I announced my presence and the purpose of the visit. The children arrived in the cafeteria and dropped their belongings. After taking attendance, the children stopped by at the bathroom and headed to the playground. A group of seventeen (17) children, aged six (6) to eleven (11) were present with two (2) staff members. The children engaged in the various activities on the playground including but not limited to playing soccer, kicking balls to the wall, swings, spinner, bars and slides. The children came inside, washed their hands in the bathroom and had snacks in the cafeteria. Today, the children had a hard-boiled egg, a cheese stick, bagel and jelly, tomatoes and ranch, banana and milk. The menu was posted. Space #1, 2, and 4 were not in use during the visit. No safety hazards were observed in those spaces during the visit. One (1) child has an epi-pen and children’s Benadryl on site. The medications were maintained in a nurse’s office, which is located across the hall from the cafeteria. The Action plan and the medical authorization forms were valid and present. The playground was inspected. No safety hazards were observed. Supervision and interaction were adequate. One (1) new staff file was monitored in full. Two(2) existing staff files were monitored partially. The existing staff members’ file was reviewed for criminal background letters, CPR/First Aid certificates and BSAC certificates. Both staff members have valid letters and certificates in files. The off-site verification form for employees was signed by Ms. Cope on 8/19/24. All existing staff members were listed, including the staff member hired on 10/16/24. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. Upon arrival, the children put their backpacks, water bottles and clothes on the cafeteria tables where they were sitting. G.S. 110-91(6) Technical assistance was provided as follows: 205: Spaces for personal belongings Storage space was not available for each child's personal belongings. Some programs use laundry baskets and grocery baskets to store personal belongings. Please refer to G.S. 110- 91(6). Due to the effects of Tropical Storm Helene, additional time is permitted to meet the compliance for the following items: Per Ms. Cope, she was not aware of the requirements for Recognizing and Responding to Suspicions of Child Maltreatment training as well as the Health and Safety training. 1897: Recognizing and Responding to Suspicions of Child Maltreatment All staff members who care for children must complete the maltreatment within ninety (90) days of employment. L. Cope, G. Hipps and I. Taylor shall complete the training as soon as possible. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 1898: Health and Safety Training Staff must complete the health and safety training within one year of employment. Ms. Cope’s due date for the health and safety training was 3/18/25. The due date for I. Taylor is 5/17/25. You can access the training on https://www.dcdee.moodle.nc.gov/. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: On-going training and WORKS letter On-going training requirements for staff members: • Staff members with BA/BS degree in EC/CD or related degree is required to complete five (5) hours of annual training. • Related Degree to EC/CD are Elementary Education, Psychology and Sociology • The staff members with the related degree shall contact the WORKS unit to update their status. • Staff members with AAS degree in EC/CD or related field and/or with EC admin credential are required to complete eight (8) hours of annual training. • Staff members with North Carolina Early Childhood Credential (NCECC) are required to complete ten (10) hours of training. • If none of the other criteria mentioned above apply to the staff members, they are required to complete twenty (20) hours of annual training. Part-time staff members’ may choose to complete the training ours listed below: • If staff members work 0-10 hours/week, the required annual training hours is five (5) hours. • If staff members work 11-20 hours/week, the required annual training hours is ten (10) hours. • If staff members work 21-30 hours/week, the required annual training hours is fifteen (15) hours. • If staff members work 31-40 hours/week, the required annual training hours is twenty (20) hours. The required hours are determined by each staff member’s WORKS letter as well as education and how long he/she works. I have reviewed each staff member’s WORKS letter. Based on the letter, Ms. Cope’s required hours of on-going training are five (5) hours. Based on the letter, Ms. Taylor’s required hours of on-going training are five (5) hours. Based on the hours G. Hipps works, his/her required training h ours is ten (10) hours. Health and Safety Training: According to the rule listed below, the Health and Safety training that was completed by new employees before the first day of employment is permitted as long as the training was completed within one year prior to beginning employment. G. Hipps has a copy of the Health and Safety training record in the file. The record is missing the dates as well as the training certificates. G. Hipps shall locate the training certificates if he/she had completed the training within one (1) year prior to his/her date of employment. Otherwise, he/she shall complete the training again within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Medication authorization form: Each medication must have an authorization form, meaning you cannot list two (2) medications in one authorization form. Please create an authorization form for the Benadryl. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2024 Number Present: 17 Completed Date: 9/25/2024 Age: From 5 To 10 Total Minutes: 116 Time In: 02:34 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Layna Cope, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Cope was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 9/13/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 12/13/23. The last sanitation inspection was conducted on 5/2/24 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Incident log was printed but no incidents were recorded. Upon arrival, the group of children washed their hands in the bathroom near cafeteria and had snacks. They had an orange, cherry tomatoes, ham sandwich, ranch and milk. Some children have nutrition opt-put form and ate what they brought from home. After snack, the group transitioned to the gym and engaged in gross motor activities with balls and games. Supervision and interaction were adequate. Two (2) children from the program are on medication. Both medications, one of which being emergency medication, are maintained in the nurse’s office. Ms. Taylor has key to the office. All areas used by the after school program, including cafeteria, gym, computer lab are located by the office, where the nurse’s office is located. Staff and Training Worksheet was provided by Ms. Cope. One (1) new staff file and one (1) existing staff file was reviewed during the visit. Please see the details on the review under consultation. Eight (8) children’s files were monitored. Off-site verification form for Public Schools were filled out for staff members and children and were available for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program uses public school buses. No children are using the transportation services currently. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Medication authorization form for Auvi-Q for a child was not in file. 10A NCAC 09 .0803(4)(6-9) 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. On the emergency information form for a staff member hired on 5/17/24, a choice of health professional/hospital was missing. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form Medication authorization signed by the parent/guardian is required for every medication including over-the-counter medications, lotions and prescription medications. The form was printed from the Division’s website and shared with the provider during the visit. Please ask the parent to fill out the form as soon as possible. 1035: Emergency Information 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. In the emergency information form for the staff member hired on 5/17/24, information regarding a choice of health care professional is not filled out. Please add the information at your earliest convenience possible. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/9/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Review of Staff and Training Worksheet: Shaken Baby Head Trauma Policy: there are the dates written on the Staff and Training Worksheet. However, in order for the documents to be valid, the staff signature and the date of training is required. This policy review is not required for school-age children. Therefore, no violation was cited. CPR/First Aid training: An expiration date of the training shall be logged instead of the date of training. Orientation: Orientations for a staff member hired on 5/17/24 were not completed until 8/16/24 due to summer break. Therefore, a violation was not cited for this item. Health and Safety training: The date of completion shall be logged on Staff and Training Worksheet. Therefore, the date of 9/1/23 should be written for Health and Safety Training Worksheet for the staff member hired on 8/23/23. Recognizing and Responding to Suspicions of Maltreatment training: Per Staff and Training Worksheet, the training was completed on 6/25/21 for the staff member hired on 5/17/24. Health and Safety Training completed at a previous employer will only count if it was completed within twelve (12) months of the hiring date. Considering the summer break, the staff member shall complete the training on or prior to November 14, 2024. Please make sure to print the training certificate and maintain it in the staff file. If there is no training certificate, the violation will be cited. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/1/2024 Number Present: 17 Completed Date: 4/1/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Varner was available during the visit. Indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine(89) percent as of 3/30/24. Permit type – Three-star center license issued on 10/7/18. Special Services/Restrictions – daytime care, school-age only. The last annual compliance visit was conducted on 10/4/23. The last fire drill was practiced on 3/6/24. The last lockdown drill was practiced on 3/5/24. The last fire inspection was approved on 12/13/23. However, the inspection was completed for the DPI programs, and no fire inspection form for the after school was completed. This has been discussed with the Fire Marshall in the past, and it was requested for him to use appropriate form for the space used by the afterschool program, which are cafeteria, computer lab, gym and art room. The last sanitation inspection was conducted on 11/14/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The previous administrator was listed. Upon arrival, I announced my presence and the purpose of the visit. I greeted Ms. Layna Cope, administrator, and discussed the situation. Current program coordinator, Ms. Varner’s last day is 4/4/24. The group of children gathered in the computer lab. They meet at this location every Monday due to Bible study group is using cafeteria on Mondays. The children played in the playground. There were swings, a slide structure, monkey bars, balls, a spinning chair, bench and shaded structure available for the children. As the children arrived late and left, Ms. Varner accompanied the children to appropriate locations. After outdoor time, the children washed their hands and had snacks in the computer lab. Today’s snacks were PB and J Uncrustable, a cheese stick, carrots, ranch, an apple, and milk. The items were listed on the menu accurately. Two (2) existing staff files were monitored. Both of them have valid criminal background qualification letters, BSAC training and CPR/First aid certificates in file. Upon request during the visit, a playground in the front of the building was inspected and added to the licensed space. The playground has a shaded structure, monkey bars, a slide structure, swings, basketball court, soccer field and a climber. No hazardous materials were observed. This will be marked as playground #2. A diagram of playground #1 was not in file, therefore, it was drawn during the visit. The playground #2 is approximately the size of a football field and 2-3 times bigger than the gym. Therefore, the space is approved for more than two hundred (200) children. The capacity for the school is forty-five (45), and eighty-seven (87) children are enrolled. All children can be on the playground at the same time. Even though the equipment are age appropriate for the school-age children, please make the safety judgement for the younger children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. on the posted EMC plan, the previous administrator was listed as an alternate person. .0802(a)(1)(A-B); 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC plan was not reviewed with the staff members when the change occurred. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: 837: Emergency Medical Care Plan (EMC) -Two (2) people shall be listed on EMC plan (one person and an alternate). 862 EMC changes to be reviewed with staff members When staff members change, the facility’s Emergency Medical Care Plan shall be renewed to make sure that one person and an alternate who are both employed at the facility be listed on the plan. When the change occurs, the new plan shall be reviewed by all staff members. Documentation of the review shall be created, such as acknowledgement or attendance roster, and the documentation shall be available for visit by Child Care Consultant. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: DCDEE Criminal Background check: All administrators for licensed program shall complete criminal background checks. DPI criminal background checks are not accepted by the Division. Please complete the background check at your earliest convenience possible. You can obtain more information on https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information/dhhs-criminal-background-checks. § 110-90.2. Mandatory child care providers' criminal history checks. Due to Ms. Cope not providing direct care, a violation was not cited for this visit. Ms. Cope cannot provide care for the children until the DCDEE Criminal background qualifying letter is issued. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; Timeline: Per Child Care Rule, you have up to one hundred and twenty (120) days to find a qualified program coordinator. 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Based upon the information obtained, the Division shall take any of the actions described in Paragraph (a) of this Rule. Basic School-age Care: BSAC BSAC training shall be completed by all staff members who provide direct care to the children within three (3) months of employment. Once obtained, you shall upload the BSAC certificate to the WORKS account. Self-paced online BSAC training is available on Southwestern Child Development Commission website at https://reg.learningstream.com. The cost of the training is $40. If you have any questions, please contact Karen Darby at darby.karen@swcdcinc.org. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: RIVERBEND AFTER SCHOOL CARE Facility ID: 44000104 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 17 Completed Date: 10/4/2023 Age: From 5 To 10 Total Minutes: 155 Time In: 02:40 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Alex Varner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Alex Varner, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percentage as of 9/25/23. Permit type – Three-star center license issued on 10/17/18. Special Services/Restrictions – daytime care and school-age only. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 10/2/23. The last shelter-in-place drill was practiced on 9/8/23. The last fire inspection was approved on 5/4/22. Ms. Varner has been in contact with the Fire Marshall. The staff members at this facility have not completed fire safety training. Ms. Varner is in communication with school personnel to schedule the training as soon as possible. I have reviewed the fire inspection form for Riverbend Elementary School. There are three (3) fire code violations. One of the violations is about the doors on the bathroom to be closed at all times, but the school cannot comply with the rule due to supervision issues. This bathroom is used by the children in afterschool program. Due to the violations, I was unable to accept Riverbend Elementary School fire inspection. Please complete the fire safety training as soon as possible and notify the Fire Marshall to complete the fire inspection. The last sanitation inspection was conducted on 5/5/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children arrived in the cafeteria approximately 2:50 pm. When everyone signed in, the group of children went to the bathroom and washed their hands. After coming back to the cafeteria, the children had snacks. Today’s menu was a hardboiled egg, a cheese stick, a bagel and jelly, cherry tomatoes and ranch, orange and milk. The menu was posted, and the items listed matched what was served. After the snack, children engaged in various activities. Some children completed homework, and other children played with materials including Legos, beads and string, games, card games, art and building blocks. The playground was inspected. There are three (3) swing structures, one (1) slide structure, dinosaur stationary equipment, a monkey bar on a gravel surfacing. No violations were observed on the playground. The teachers were attentive, and the supervision was adequate. There are no children on medication currently. To encourage more participation, all children who are interested in after-school care are registered. However, the children who attend regularly are less than twenty-five (25) children. Currently, seventy-three (73) children are enrolled. ABCMS system was reviewed prior to the visit. All three (3) staff members have a valid criminal background qualification letter. Two (2) new staff members’ files were monitored in full. Public School Off-Site records verification form was available for review. All documents on the Staff and Training worksheet were available for review except for the applications. Both staff members have valid CPR/First Aid training and BSAC training. Seven (7) children’s files were monitored. Public School Off-Site records verification form for children’s files were available for review. In each child’s file, an application form was maintained. For a few children, incident reports were also filed. The program’s parent/student handbook was reviewed for operational policy and parent participation plan. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The facility did not produce the most recent fire inspection form. G.S. 110-91( 9) Technical assistance was provided as follows: Fire inspection: A fire inspection shall be completed annually. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Riverbend After School Care is in cohort one (1). I have reviewed each staff member’s WORKS letter. Please upload your BSAC training certificate and apply for “program coordinator” position. Staff member KL shall create a WORKS account, upload BSAC training and apply for a “group leader” position. Once all WORKS accounts are updated, I will review your education. You may also want to consider changing your restrictions to increase your program point. Your prep-year is current through June 2024, and the assessment year will be July 2024 to June 2025. Fire inspection: Though we greatly appreciate everyone’s attempt to complete a fire inspection in a timely manner, it has been over sixteen (16) months since the last inspection. Please complete the fire inspection as soon as possible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times