10A NCAC 09 .0604 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 .0604 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 16 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 215 Time In: 10:05 AM Time Out: 01:40 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, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked to the classroom. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent 7/30/2025. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/4/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/2/2025. The last emergency drill was conducted on 9/19/2025. The last playground inspection was documented on 8/19/2025. The September inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/12/2024. The annual inspection is currently due. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were engaged in free play with playdough, blocks, dollhouse, light table, dramatic play, magnetic toys, and books. At 10:19am, the group cleaned up and transitioned to the carpet for group time. During group time, the lead teacher conducted music time and story time. After group time concluded, the children were called one at a time to wash their hands and line up to prepare for lunch. While the children waited in line, they participated in songs with hand movements. At 10:43a, the group transitioned to the cafeteria for lunch. Lunch served today consisted of chicken alfredo, pears, black beans, bread, and milk. After lunch at 11:15am, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the trikes, climbers, chalk, blocks, and sand. While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. During the visit we discussed the use of the kindergarten playground, all components must be met even though the children are using the space for trike riding. A child may decide they are done riding the trike and attempt to use the climbing equipment and could potentially lead to a child being injured due to inadequate surfacing. In order to remain in compliance and ensure the children are safe, you must develop a plan to implement how you will use the preschool playground by dividing into two (2) groups to ensure you are meeting space requirements for the preschool playground, ensuring you are meeting the variety of equipment to stimulate gross motor activity, and adequate supervision. An implementation plan will need to be submitted by 10/7/2025 to state how you implement using only the preschool playground in two (2) outdoor sessions. Please note that preschool is required to receive at minimum of forty-five minutes of daily outdoor gross motor play. The time can be divided into two (2) different increments for each group depending on the best fit for your schedule. Feel free to reach out to me for additional guidance and support. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 8:00 a.m. to 2:45 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. Staff member MB, CD, and MS emergency information and health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The power strip to the right of the group time area had three (3) uncovered electrical outlets. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. One (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. 10A NCAC 09 .0803(4)(6-9) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. .0701(a) Technical assistance was provided as follows: Item 812- While monitoring the indoor environment, I observed the power strip to the right of the group time area had three (3) uncovered electrical outlets. We discussed that the outlets would need to be covered or removed from use. During the visit the staff removed the power strip from use and stored it in a cabinet inaccessible to children. Rule Reference: 10A NCAC 09 .0604 (c) Item 847- While monitoring the one (1) prescription topical medication, I observed that the school medication form did not include all the required components. Missing the end date for the medication, the manner the medication was to be administered. We discussed that the permission to administer medication form will need to be completed in addition to the school form to ensure that all the items are in compliance. The teacher stated that she will have the parent complete the form and have it on file with the school form. Rule Reference: 10A NCAC 09 .0803(4)&(6-9) Item 1034- Staff member MB, CD, and MS health questionnaire on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) Item 1035- Staff member MB, CD, and MS emergency information on file was dated 8/14/2024. During the visit, the staff members completed the form to be updated for the 2025 school year. Rule Reference: 10A NCAC 09 .0701 (a) 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 10/7/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders Emergency Information and Health Questionnaire forms are due to be updated annually by staff. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. On-going training hours are due for staff members by 8/1/2026. Currently staff member CD has half (1/2) hours to carry over to this school year and will need four (4) and a half (1/2) hours by 8/1/2026. Staff member MS has seven (7) hours and will need eight (8) hours by 8/1/2026. Criminal Background Check recertification is due for MB by 2/3/2026, RS due by 4/28/2026, and LB due by 4/13/2026. Continue to verify your staff roster in the ABCMS portal. 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 .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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 .0601 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .0605 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 09.0604 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 17 Completed Date: 3/4/2025 Age: From 4 To 5 Total Minutes: 202 Time In: 09:48 AM Time Out: 01:10 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 Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Cheltsea Duncan, Lead Teacher, was on site and available today. 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 percent (90%) as of 2/24/2025. This facility is operated by Avery County Schools and is located in Crossnore Elementary School. The facility currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The last annual compliance visit was conducted on 3/13/2024. The last fire drill was practiced on 2/10/2025. A fire drill was missed due to Tropical Storm Helene. The facility has resumed conducting monthly fire drills. The last shelter-in-place drill was practiced on 2/6/2025. The last playground inspection was documented on 2/4/2025. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 2/5/2025 with eleven (11) demerits for a superior classification. The current inspection was received during the visit. The last lead water testing was conducted on 4/29/2021. The lead water testing is past due to be completed. The lead paint, and asbestos testing is due to complete by 5/31/2025. Continue to work with the school system and Environmental Health to have the required testing completed. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with four- to five-year-old children engaged in free play with playdough, felt board, books, one on one activity, and the light table. After free play the children cleaned up to prepare for story time. Once at story time, the lead teacher read the story Put me in the Zoo. After story time, the children prepared for lunch by washing hands and lining up. The group transitioned to the cafeteria. One (1) teacher cleaned the tables and the other lead the children through the lunch line. After getting their trays, they walked to the tables. The staff assisted the children if they needed help with opening their food. Lunch consisted of beef and cheese nachos, lettuces and tomatoes, beans, apples, and milk. While monitoring the indoor environment, I observed one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them daily. She covered those during the visit. While monitoring the outdoor environment, I observed the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #807- Outdoors, the green metal down spout on the side of the building had rust and chipping paint exposed and accessible to the children. We discussed that a work order will need to be put in to have this scrapped, sanded, and repainted. Rule Reference: 10A NCAC 09 .0601 (a) Item #812- one (1) electrical outlet uncovered in the classroom and two (2) electrical outlets uncovered near the cafeteria door. When I discussed with the teacher, she stated that it is hard to keep covered due to the janitors cleaning the classroom and hallway. She stated that she does check them but must have missed those today. The outlets were covered during visit. Rule Reference: 10A NCAC 09.0604(c) 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 3/18/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Playground- we discussed if the group is going to use the Kindergarten playground that it must meet all licensing requirements. Surfacing around the volcano climber and the climber with slide is low with dirt exposed. We discussed that the children cannot use those pieces of equipment until surfacing is added to meet the requirement for the height of the equipment. While discussing the surfacing around the equipment, Ms. Duncan stated that the county has a playground committee that is looking into resurfacing all of the playgrounds in the county. The committee is looking into the pour in surfacing. We discussed that the pour in surfacing would need to meet the ASTM certification requirements. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. Footings which anchor equipment shall not be exposed. Protective surfacing shall be either: (1) loose surfacing material, including wood mulch, double shredded bark mulch, uniform wood chips, fine sand, coarse sand, and pea gravel, except that pea gravel shall not be used if the area will be used by children under three years of age. Loose surfacing material shall not be installed over concrete; or (2) other materials that have been certified by the manufacturer to be shock-absorbing protective material in accordance with the American Society for Testing and Materials (ASTM) Standard F 1292, may be used if installed, maintained, and replaced according to the manufacturer's instructions. This standard is incorporated by reference and does include subsequent editions. This standard may be found online at https://www.astm.org/Standards/F1292.htm for a cost of sixty- five dollars ($65.00). The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We reviewed that while outside the preschool playground the capacity is thirteen (13) children. When the children are running back and forth between the Kindergarten and preschool playground you will need to ensure that thirteen (13) is the maximum amount of children on the preschool playground. During the visit I did not observe more than thirteen (13) children on the preschool playground, but staff will need to keep a close eye on the number of children on the preschool playground. Reminders- The following health and safety training topics are due for staff member CD, Handling and storage of hazardous materials and biocontaminates is due by 4/3/2025, Building and physical premises training is due to be completed by 12/15/2025, and Emergency preparedness and response training is due by 1/27/2026. We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Electrical Outlets- Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or a tamper-resistant electrical outlet. Consider having extra outlet covers in each space, so that outlets can easily be recovered when needed. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 17 Completed Date: 1/17/2025 Age: From 4 To 5 Total Minutes: 185 Time In: 10:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and escorted down to the classroom by the school resource officer. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of today prior to this visit. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/13/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 12/19/2024. A monthly fire drill was missed due to facility closure due to Tropical Storm Helene. Since re-opening, the facility has resumed monthly fire drills. The last emergency drill, lockdown drill, was practiced on 12/17/2024. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email on 12/16/2024. Mr. Gardner stated that they are understaffed and with the Hurricane recovery they are doing the best they can. He has asked for help from the state for REHS’s. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program uses public school buses. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. The group of four to five year old children were transitioning from group time to a group art activity making the letter “S” with snowflakes. As the children finished art, the children transitioned to the carpet for group music. Then the children and staff washed hands and lined up for lunch. The group transitioned to the cafeteria for lunch. Lunch served today consisted of Chili, salad, apples, bake potato, and milk. The menu documented that lunch would be bbq chicken, sweet potato fries, bake beans, coleslaw, pineapple, and milk. The teacher documented the menu changes during the visit. After lunch, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the snow, and climbers. Ms. Duncan stated that the class would like to use the Kindergarten playground in order to be able to go out as a full group. While engaged in play outside, I measured the kindergarten playground and noted that if the preschoolers use the rock climber or the climber with the slide, more surfacing would need to be added to ensure that the required six (6) inches is met. Currently, the pea gravel was frozen and was unable to be measured. I will measure during the next visit. Ms. Duncan stated that she does not allow the children to use the rock climber or the climber with the slide due to the height of the equipment. The equipment was measured the rock climber measured seven (7) feet, and the climber with the slide measured five (5) feet eleven (11) to the top of the structure and four (4) feet to the top of the slide. After outdoor play, the group transitioned indoors to put away coats, go to the restroom, and wash hands. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit : Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. .2820(b) 9995 A violation was found for which there is no item number. One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. Technical assistance was provided as follows: Item #840- One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. The teacher corrected this during the visit. We discussed that shaving cream must be stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item #9995- One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. The teacher moved the pocketbook up inaccessible to the children during the visit. We discussed that staff pocketbooks must be stored inaccessible to children and if there is any medications or hazardous products in the pocketbook, it must be locked. Rule Reference: 15A NCAC 18A .2820 (f) Consultation is provided as follows: Legal Designee will need to be completed for Cheltsea Duncan. A copy was left for the principal to complete and send back to me. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 17 Completed Date: 1/17/2025 Age: From 4 To 5 Total Minutes: 185 Time In: 10:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and escorted down to the classroom by the school resource officer. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of today prior to this visit. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/13/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 12/19/2024. A monthly fire drill was missed due to facility closure due to Tropical Storm Helene. Since re-opening, the facility has resumed monthly fire drills. The last emergency drill, lockdown drill, was practiced on 12/17/2024. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email on 12/16/2024. Mr. Gardner stated that they are understaffed and with the Hurricane recovery they are doing the best they can. He has asked for help from the state for REHS’s. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program uses public school buses. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. The group of four to five year old children were transitioning from group time to a group art activity making the letter “S” with snowflakes. As the children finished art, the children transitioned to the carpet for group music. Then the children and staff washed hands and lined up for lunch. The group transitioned to the cafeteria for lunch. Lunch served today consisted of Chili, salad, apples, bake potato, and milk. The menu documented that lunch would be bbq chicken, sweet potato fries, bake beans, coleslaw, pineapple, and milk. The teacher documented the menu changes during the visit. After lunch, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the snow, and climbers. Ms. Duncan stated that the class would like to use the Kindergarten playground in order to be able to go out as a full group. While engaged in play outside, I measured the kindergarten playground and noted that if the preschoolers use the rock climber or the climber with the slide, more surfacing would need to be added to ensure that the required six (6) inches is met. Currently, the pea gravel was frozen and was unable to be measured. I will measure during the next visit. Ms. Duncan stated that she does not allow the children to use the rock climber or the climber with the slide due to the height of the equipment. The equipment was measured the rock climber measured seven (7) feet, and the climber with the slide measured five (5) feet eleven (11) to the top of the structure and four (4) feet to the top of the slide. After outdoor play, the group transitioned indoors to put away coats, go to the restroom, and wash hands. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit : Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. .2820(b) 9995 A violation was found for which there is no item number. One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. Technical assistance was provided as follows: Item #840- One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. The teacher corrected this during the visit. We discussed that shaving cream must be stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item #9995- One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. The teacher moved the pocketbook up inaccessible to the children during the visit. We discussed that staff pocketbooks must be stored inaccessible to children and if there is any medications or hazardous products in the pocketbook, it must be locked. Rule Reference: 15A NCAC 18A .2820 (f) Consultation is provided as follows: Legal Designee will need to be completed for Cheltsea Duncan. A copy was left for the principal to complete and send back to me. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 17 Completed Date: 1/17/2025 Age: From 4 To 5 Total Minutes: 185 Time In: 10:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and escorted down to the classroom by the school resource officer. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of today prior to this visit. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/13/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 12/19/2024. A monthly fire drill was missed due to facility closure due to Tropical Storm Helene. Since re-opening, the facility has resumed monthly fire drills. The last emergency drill, lockdown drill, was practiced on 12/17/2024. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email on 12/16/2024. Mr. Gardner stated that they are understaffed and with the Hurricane recovery they are doing the best they can. He has asked for help from the state for REHS’s. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program uses public school buses. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. The group of four to five year old children were transitioning from group time to a group art activity making the letter “S” with snowflakes. As the children finished art, the children transitioned to the carpet for group music. Then the children and staff washed hands and lined up for lunch. The group transitioned to the cafeteria for lunch. Lunch served today consisted of Chili, salad, apples, bake potato, and milk. The menu documented that lunch would be bbq chicken, sweet potato fries, bake beans, coleslaw, pineapple, and milk. The teacher documented the menu changes during the visit. After lunch, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the snow, and climbers. Ms. Duncan stated that the class would like to use the Kindergarten playground in order to be able to go out as a full group. While engaged in play outside, I measured the kindergarten playground and noted that if the preschoolers use the rock climber or the climber with the slide, more surfacing would need to be added to ensure that the required six (6) inches is met. Currently, the pea gravel was frozen and was unable to be measured. I will measure during the next visit. Ms. Duncan stated that she does not allow the children to use the rock climber or the climber with the slide due to the height of the equipment. The equipment was measured the rock climber measured seven (7) feet, and the climber with the slide measured five (5) feet eleven (11) to the top of the structure and four (4) feet to the top of the slide. After outdoor play, the group transitioned indoors to put away coats, go to the restroom, and wash hands. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit : Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. .2820(b) 9995 A violation was found for which there is no item number. One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. Technical assistance was provided as follows: Item #840- One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. The teacher corrected this during the visit. We discussed that shaving cream must be stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item #9995- One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. The teacher moved the pocketbook up inaccessible to the children during the visit. We discussed that staff pocketbooks must be stored inaccessible to children and if there is any medications or hazardous products in the pocketbook, it must be locked. Rule Reference: 15A NCAC 18A .2820 (f) Consultation is provided as follows: Legal Designee will need to be completed for Cheltsea Duncan. A copy was left for the principal to complete and send back to me. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 17 Completed Date: 1/17/2025 Age: From 4 To 5 Total Minutes: 185 Time In: 10:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and escorted down to the classroom by the school resource officer. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of today prior to this visit. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/13/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 12/19/2024. A monthly fire drill was missed due to facility closure due to Tropical Storm Helene. Since re-opening, the facility has resumed monthly fire drills. The last emergency drill, lockdown drill, was practiced on 12/17/2024. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email on 12/16/2024. Mr. Gardner stated that they are understaffed and with the Hurricane recovery they are doing the best they can. He has asked for help from the state for REHS’s. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program uses public school buses. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. The group of four to five year old children were transitioning from group time to a group art activity making the letter “S” with snowflakes. As the children finished art, the children transitioned to the carpet for group music. Then the children and staff washed hands and lined up for lunch. The group transitioned to the cafeteria for lunch. Lunch served today consisted of Chili, salad, apples, bake potato, and milk. The menu documented that lunch would be bbq chicken, sweet potato fries, bake beans, coleslaw, pineapple, and milk. The teacher documented the menu changes during the visit. After lunch, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the snow, and climbers. Ms. Duncan stated that the class would like to use the Kindergarten playground in order to be able to go out as a full group. While engaged in play outside, I measured the kindergarten playground and noted that if the preschoolers use the rock climber or the climber with the slide, more surfacing would need to be added to ensure that the required six (6) inches is met. Currently, the pea gravel was frozen and was unable to be measured. I will measure during the next visit. Ms. Duncan stated that she does not allow the children to use the rock climber or the climber with the slide due to the height of the equipment. The equipment was measured the rock climber measured seven (7) feet, and the climber with the slide measured five (5) feet eleven (11) to the top of the structure and four (4) feet to the top of the slide. After outdoor play, the group transitioned indoors to put away coats, go to the restroom, and wash hands. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit : Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. .2820(b) 9995 A violation was found for which there is no item number. One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. Technical assistance was provided as follows: Item #840- One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. The teacher corrected this during the visit. We discussed that shaving cream must be stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item #9995- One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. The teacher moved the pocketbook up inaccessible to the children during the visit. We discussed that staff pocketbooks must be stored inaccessible to children and if there is any medications or hazardous products in the pocketbook, it must be locked. Rule Reference: 15A NCAC 18A .2820 (f) Consultation is provided as follows: Legal Designee will need to be completed for Cheltsea Duncan. A copy was left for the principal to complete and send back to me. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 17 Completed Date: 1/17/2025 Age: From 4 To 5 Total Minutes: 185 Time In: 10:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and escorted down to the classroom by the school resource officer. Once in the classroom, I was greeted by Cheltsea Duncan, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of today prior to this visit. Cheltsea Duncan, Lead Teacher, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/13/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/1/2022. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 12/19/2024. A monthly fire drill was missed due to facility closure due to Tropical Storm Helene. Since re-opening, the facility has resumed monthly fire drills. The last emergency drill, lockdown drill, was practiced on 12/17/2024. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email on 12/16/2024. Mr. Gardner stated that they are understaffed and with the Hurricane recovery they are doing the best they can. He has asked for help from the state for REHS’s. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program uses public school buses. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. The group of four to five year old children were transitioning from group time to a group art activity making the letter “S” with snowflakes. As the children finished art, the children transitioned to the carpet for group music. Then the children and staff washed hands and lined up for lunch. The group transitioned to the cafeteria for lunch. Lunch served today consisted of Chili, salad, apples, bake potato, and milk. The menu documented that lunch would be bbq chicken, sweet potato fries, bake beans, coleslaw, pineapple, and milk. The teacher documented the menu changes during the visit. After lunch, the group transitioned to the restroom to wash hands and prepare to go outside. Once outside, the children engaged in play with the snow, and climbers. Ms. Duncan stated that the class would like to use the Kindergarten playground in order to be able to go out as a full group. While engaged in play outside, I measured the kindergarten playground and noted that if the preschoolers use the rock climber or the climber with the slide, more surfacing would need to be added to ensure that the required six (6) inches is met. Currently, the pea gravel was frozen and was unable to be measured. I will measure during the next visit. Ms. Duncan stated that she does not allow the children to use the rock climber or the climber with the slide due to the height of the equipment. The equipment was measured the rock climber measured seven (7) feet, and the climber with the slide measured five (5) feet eleven (11) to the top of the structure and four (4) feet to the top of the slide. After outdoor play, the group transitioned indoors to put away coats, go to the restroom, and wash hands. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. All staff files were monitored for criminal background letters and CPR/First Aid certificates. All staff members have current letters and certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit : Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. .2820(b) 9995 A violation was found for which there is no item number. One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. Technical assistance was provided as follows: Item #840- One (1) aerosol can of Barbarsol shaving cream was sitting on the table near the teachers desk. The teacher corrected this during the visit. We discussed that shaving cream must be stored in a locked cabinet. Rule Reference: 15A NCAC 18A.2820(b) Item #9995- One (1) brown staff pocketbook sat in the chair behind the table near the teachers desk accessible to children. The teacher moved the pocketbook up inaccessible to the children during the visit. We discussed that staff pocketbooks must be stored inaccessible to children and if there is any medications or hazardous products in the pocketbook, it must be locked. Rule Reference: 15A NCAC 18A .2820 (f) Consultation is provided as follows: Legal Designee will need to be completed for Cheltsea Duncan. A copy was left for the principal to complete and send back to me. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0608 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 .3009 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 16 Completed Date: 3/13/2024 Age: From 4 To 5 Total Minutes: 330 Time In: 09:55 AM Time Out: 03:25 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. (Or an annual compliance with rated license assessment visit.) Upon arrival, I signed in at the front office. I walked to the classroom and was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. A computerized generated visit summary was signed left on-site with you. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. 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 last annual compliance visit was conducted on 4/5/2024. The last fire drill was practiced on 2/5/2024. The last lockdown drill was practiced on 12/4/2023. I suggest that you conduct a shelter in place drill as your next emergency drill to ensure the children are familiar with what they are supposed to do in the event they need to shelter in place. The last playground inspection was documented on 2/27/2024. The last fire inspection was approved on 10/17/2023. The last sanitation inspection was conducted on 9/27/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/11/2024. During the visit, I observed the group with three- to five-year-old children engaged in free choice center play. The substitute rang the bell to let the children know center time was over. After clean up, the children transitioned to the carpet. Once on the carpet, Ms. Duncan reviewed with them that half of the children would be going outside and the other half would remain indoors for story time and then they would switch. Group 1 went outside at 10:00a to engage in gross motor play outdoors. Group 2 remained indoors for story time. Group 1 returned indoors at 10:20a. The children in group 1 went to their cubbies to put their coats away and went to the carpet for story time. The staff and children did not wash their hands upon arrival into the classroom. Group 2 lined up and prepared to go outdoors. At 10:38a, group 2 transitioned indoors. The children in group 2 went to the carpet to join the other group. The children and staff did not wash their hands upon arrival into the classroom. Ms. Duncan began group time and at 10:41, the children began washing their hands and getting in line for lunch. When all children were in line, the class transitioned to the cafeteria for lunch. Lunch today consisted of chicken tenders, waffles, carrots, strawberries, and milk. After lunch, the class used the hallway restrooms and transitioned into the classroom. Once in the classroom, the children went to the carpet and Ms. Duncan reviewed with the children that one (1) group would be going outside and the second group would remain indoors engaged in free choice center play. At 12:00p, group 1 transitioned indoors and began free choice center play and group 2 transitioned outdoors. After gross motor play, the children prepared for naptime. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Private Facebook group, emails, text, phone to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keeping a sign-in sheet for each event. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet were received prior to today's visit. Staff file concerns: Substitute staff member L. Aldridge hired 3/12/2024 staff file was not on-site and did not have a Criminal Background Check Qualification letter. During the visit, I viewed the ABCMS online portal to verify the Criminal Background Check Qualification letter was not issued. I contacted my supervisor, Bonnie Mathis to discuss the situation and how she would like for me to proceed. Ms. Mathis stated to speak with the school principal Matthew Bentley regarding the situation and that someone else would need to be assigned to the classroom or they would be out of compliance. While making the lead teacher Cheltsea Duncan aware of the situation, Mr. Bentley was conducting an outdoor perimeter check and stopped to speak with us. When discussing the situation, Mr. Bentley and Ms. Duncan asked to contact my supervisor via phone call. I contacted Bonnie Mathis, Licensing Supervisor to assist with the discussion of the staff member on-site without a qualifying letter. We brainstormed possible ways to alleviate the situation. Mr. Bentley is going to reach out to the main office to see if they can assist with the situation and contact the sheriffs department. Mr. Bentley returned during the visit to make Ms. Aldridge aware that he was able to get her an appointment to complete the fingerprint process this afternoon. The staff member cannot be left alone with children until a qualifying letter has been obtained. We will reach out to the Western Regional Manager to discuss the situation. While waiting for additional guidance, please immediately move forward with getting the staff member qualified. Staff member CD did not complete health and safety training topics within five (5) years of the previously complete training topic. I monitored two (2) children’s files and completed the Children’s Record form. Children’s file concerns: Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash hands upon arrival into the classroom from outdoors. 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member LA hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Staff member LA was not on-site for review. The lead teacher stated it was housed off-site at the county office. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member L. Aldridge valid qualification letter was not on file for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. .0608(b)(1-6) Technical assistance was provided as follows: Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - Children did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, children should wash hands with soap and water at the classroom sink prior to prior to going to centers. Item #609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. - Staff did not wash hands upon arrival into the classroom from outdoors. Upon arrival into the classroom from outdoor play, staff should wash hands at the classroom sink. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member L. Aldridge hired 3/12/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Staff member L. Aldridge was not on-site for review. The lead teacher stated it was housed off-site at the county office. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. "§ 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. (d) The Department shall notify in writing the child care provider, and the child care provider's employer, if any, or for nonlicensed child care homes the local purchasing agency, of the determination by the Department whether the child care provider is qualified to provide child care based on the child care provider's criminal history. In accordance with the law regulating the dissemination of the contents of the criminal history file furnished by the Federal Bureau of Investigation, the Department shall not release nor disclose any portion of the child care provider's criminal history to the child care provider or the child care provider's employer or local purchasing agency. The Department shall also notify the child care provider of the procedure for completing or challenging the accuracy of the criminal history and the child care provider's right to contest the Department's determination in court. A child care provider who disagrees with the Department's decision may file a civil action in the district court of the county of residence of the child care provider within 60 days after receiving written notification of disqualification. Review of the Department’s determination disqualifying a child care provider shall be de novo. No jury trial is available for appeals to district court under this section." - Staff member L. Aldridge valid qualification letter was not on file for review at the facility. Plan to ensure a valid criminal background qualification letter is on site on or before the first day of work. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member CD all health and safety training topics were not included as part of on-going training within five (5) years of completing the previous health and safety training topics. Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment was completed on 1/3/2019 and due by 1/3/2024, Administration of medication, with standards for parental consent was completed on 6/21/2017 and due by 6/21/2022, and Precautions in transporting children was completed on 6/21/2017 and due by 6/21/2022. I suggest reviewing each of your health and safety training completion dates and adding them to your calendar as a reminder to complete within five (5) years of the previous completion date. Item #1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) Within 30 days of adopting the policy, the child care center shall review the policy with parents of currently enrolled children up to five years of age. A copy of the policy shall be given and explained to the parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. The center shall obtain the parent’s signature on the statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain the following and be maintained in the child’s file for review by the Division: (1) The child’s name; (2) The date the child first attended the center; (3) The date the operator’s policy was given and explained to the parent; (4) The parent’s name; (5) The parent’s signature; and (6) The date the parent signed the acknowledgment. - Child JG enrolled 8/14/2023 did not have a signed Prevention of Abusive Head Trauma Policy on file. I suggest reviewing each child’s file prior to the first day of school to ensure that you have the completed Prevention of Abusive Head Trauma Policy on file. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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: Today, we discussed the following: When completing the staff and training worksheet, please ensure that you add the specific date (month, day, year) of any information that is housed off-site at the main office. Staff hours should list what hours (ex. 7:30a-2:30p) they work instead of forty (40). Staff member CD qualifying letter expires 8/22/2024. Staff member CD First Aid and CPR training will expire on 5/31/2024. Criminal Background Checks should be completed prior to staff beginning work in the classroom. Substitute staff should have a traveling file to house the required items. Health and Safety training topics are required to be completed within five (5) years of the previous completion certificate date. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, during the visit. A computerized generated copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .2506 · Violation

Name of Operation: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: CROSSNORE PREKINDERGARTEN Facility ID: 06000040 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/13/2023 Number Present: 14 Completed Date: 10/13/2023 Age: From 4 To 5 Total Minutes: 215 Time In: 09:25 AM Time Out: 01:00 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 your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I signed in at the front office and asked if the principal/administrator, Matthew Bentley was available. Mr. Bentley was available to accompany me to the classroom. While walking to the classroom, I explained the reason for my visit. When we arrived at the classroom, I was greeted by Cheltsea Duncan, Lead Teacher and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Cheltsea Duncan, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Crossnore Elementary School, and currently operates with a Five (5) Star Rated License effective 6/1/2022. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Cheltsea Duncan, Lead Teacher, and Matthew Bentley, Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/5/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in free choice centers. After free choice center, the children cleaned up and transitioned to the carpet for story time reading of The Leaf Man. After story time, the class engaged in music and movement. After music and movement, the children began washing their hands to prepare for lunch. After the children finished lunch, the class transitioned to use the restroom, and wash hands. Once each child finished using the restroom and washing their hands, the class transitioned to the group time carpet in the classroom to discuss the new outside time grouping. On the carpet Ms. Duncan reviewed with the children that the class would divide into two (2) groups, one (1) group would go outside, and the other group would remain inside with Ms. McKinney engaged in free choice center play. When the first group finishes outdoor time, the second group will transition outdoors for gross motor play. Ms. Duncan reassured the children that all children would be able to go outside just not at the same time, due to the space capacity for the outdoor space. All staff interactions were positive and nurturing. The lunch today was pork shop sandwich, mash potatoes, green beans, and milk. The last fire drill was practiced on 9/5/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 9/28/2022. The lead teacher is not aware of an inspection being completed this school year. I also asked the school receptionist and she stated that the fire marshal has not conducted an inspection for this school year. The program’s most recent sanitation inspection was completed on 9/27/2023, with two (2) demerits. The Emergency Medical Care Plan is posted and needs to be updated to reflect Ms. McKinney. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored during today’s visit. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. 10A NCAC 09 .0802(a) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. .0604(e) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. .2506(c) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/27/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 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. - The fire inspection on file was dated 9/28/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - In the cafeteria, a unattended mop bucket was located near the trash can and ice cream cooler. When the children threw their trash away, they lined up in front of the unattended mop bucket to get their ice cream. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - The emergency medical care plan was not updated after a staff member retired. The emergency medical care plan documented retired staff member JA instead of the current staff member MM. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - Two (2) hot glue guns and one (1) laminator not in use was located in a cubby in the art center below five (5) feet. The lead teacher corrected this during the visit. Item #1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Adult tools (shovel, rake, and hoe) were located in an unlocked outdoor storage cabinet in the approved outdoor space. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The program’s year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Outdoor space, we discussed the need to divide the group in half due to the space capacity of the approved outdoor space. The outdoor capacity is thirteen (13) children outside. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your groups, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. Failure to meet and maintain the outdoor space requirements would result in future violations. - The outdoor unlocked storage cabinet will need a lock added if adult tools will be stored in this cabinet. - Mop bucket in the cafeteria will need to be relocated to an locked room or cabinet where it is not accessible to the preschool children. - Items with heating elements must be stored up five (5) feet and inaccessible to the children. - Emergency Medical Care Plan needs to reviewed annually and when changes occur. 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 me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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