10A NCAC 09 .0901 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3203 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3205 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3207 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3219 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3221 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 38 Completed Date: 12/10/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 AM Time Out: 05:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Cassie Sandoval, Co-Program Coordinator. This facility has recently hired two new staff members to serve as Co-Program Coordinators, Cassie Sandoval and Melissa Myers. Ms. Sandoval and Ms. Myers were present during my visit. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria 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. The program’s compliance history was eighty-three (83) percent as of December 10, 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill recorded was practiced on November 19, 2025. An emergency drill has not be completed for this school year. The Emergency Medical Care plan was posted and current. Lead water testing was conducted on September 09, 2024 without hazards. Lead paint and asbestos testing is showing enrollment has started. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of applesauce, graham crackers and water. Children were observed during homework time, reading time, playing with fine motor and building materials, and gross motor activities such as bowling and corn hole. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no menu posted for the month of December. 10A NCAC 09 .0901(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. It was reported today that a shelter-in-place or lockdown drill has not been completed for this school year. .0604(u);.0302(d)(8) Technical Assistance Provided Item #526 I suggest requesting a snack menu from the school cafeteria manger the last week of the month to ensure you have the most current menu for the upcoming month. I also suggest having a conversation with them about the following child care requirement so that they understand the importance of having a current menu. According to 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 Conducting emergency drills every three months in North Carolina childcare centers is important because it ensures staff and children become familiar with safety procedures, which helps to ensure a calm and efficient response during a real emergency. Regular practice, as required by the state, helps staff members become familiar with their specific roles and responsibilities and allows for identification of areas for improvement in the emergency plan, according to the NC Division of Child Development and Early Education and the NC Child Care Health and Safety Resource Center. Note: with your facility being closed during the summer months it is important to schedule an emergency drill within 10 days of children starting the new school year. Achieving compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by December 24, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation provided: Out-of-school programs are no longer required to have a fire and sanitation inspection. QRIS Modernization Discussion: *Today we discussed scheduling a TA visit before March 31, 2025, to review the QRIS modernization system in detail. In preparation for the TA visit I encourage you to review the information below: The revised QRIS Pathways to the Stars includes three different pathways that you may choose from. We encourage you to choose the best pathway for your program, staff, and the families/children in your program. Each pathway includes education standards for individual staff positions at each star level. Education documentation for each position can be located at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization You will need to scroll to the bottom of the page, and these documents will be posted below the videos. Each staff member will need to create a WORKS account to submit official transcripts for their evaluations. Keep in mind that WORKS accounts must be updated as staff increase their education. Instructions on how to create a WORKS account can be located at https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS underneath the DCDEE WORKS resources on the right hand side of the page. If you have any questions or issues with a staff member’s account reach out to the WORKS unit at Phone: 919-814-6350 or Toll Free 1-800-859-0829 Email: dcdee.works@dhhs.nc.gov Program Assessment pathway and Classroom and Instructional Quality pathway shall meet Family and Community Engagement standards. Information regarding the Family and Community Engagement standards can be found in CHAPTER 09 10A NCAC 09 .3219 FAMILY AND COMMUNITY ENGAGEMENT STANDARDS FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Today we reviewed the Family and Community Engagement Standards checklist with the options a program can choose from. Program Assessment pathway and Classroom and Instructional Quality pathway must include individual and programmatic Continuous Quality Improvement (CQI) plans. Information regarding the QRIS can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3221 CONTINUOUS QUALITY IMPROVEMENT (CQI) STANDARDS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option one- Program Assessment is the pathway that is similar to what we had in the past and includes assessments from NCRLAP. The Environment Rating Scales SACERS-U will be the tool used to assess out of schools programs. If this is the pathway you choose I would suggest you reach out to North Carolina Rated License Project (NCRLAP) and request a SACERS-U outreach assessment. Outreach assessments are a training tool to help you and staff members understand the assessment process and to provide feedback in areas that may score low on during your official assessment(s). NCRLAP’s website located at www.ncrlap.org is where you will request an outreach assessment(s). You can also find updated resources and credit hour trainings and webinars. I highly recommend all staff members visit the resources and training opportunities provided by NCRLAP. Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3203 PROGRAM ASSESSMENT PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option two- Classroom and Instructional Quality pathway is new to our licensing system. This licensure pathway combines the more stringent ratios with curriculum and child assessments to ensure classroom and instructional quality practices. This pathway includes coaching and training options for administrators and/or teachers. A list of approved curriculum and approved formative assessments can be located at www.ncchildcare.ncdhhs.gov.Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS. Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Pathway option three- Accreditation and Head Start pathway is another new pathway in our licensing system. There are seven accreditation options in the accreditation and head start pathway. Facilities with an accreditation leads directly to a Three Star Rated License or higher based on the Division’s evaluation of education standards for staff members. Head Start and Early Head Start facilities have a direct pathway to a Five Star Rated License. This will recognize the federal quality performance standards already in place for these facilities that are comparable to QRIS standards Information regarding this pathway can be found in CHAPTER 09 - CHILD CARE RULES 10A NCAC 09 .3207 ACCREDITATION AND HEAD START PATHWAY FOR CHILD CARE FACILITIES Also, there are resources located https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization In the next couple of months, I encourage you to review each pathway and the resources available for each. You will need to decide which pathway you choose by the time of your next licensing visit. During that visit we will discuss in more detail the pathway you have chosen and the information that this requires for that pathway. If you think you are leaning more towards pathway option one, I highly suggest going ahead and requesting an outreach assessment. *Today we discussed the process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 28 Completed Date: 5/7/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. Bonnie Mathis, Licensing Supervisor, accompanied me on this visit. A printed signed copy of today’s visit was left on-site. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of May 06, 2025. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill was practiced on March 02, 2025 The last emergency drill was conducted on November 25, 2024 The Emergency Medical Care plan was posted and current. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction There has been one (1) new substitute hired since your annual compliance visit in January. I reviewed the information in the substitute members’ files. Upon arrival we introduced ourselves to Ms. Cunningham and explained the reason for our visit. Ms. Cunningham was available to answer any question and assist us as needed. The indoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors reading and homework, snack, which consisted of Chex mix and fruit juice and departure. 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 violation was written: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available for the two (2) groups of school-age children. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 3/2/25. A fire drill was not conducted for the month of April. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Four (4) bottles of hand sanitizer were stored accessible in the cafeteria. .0604(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. M.K. (sub) did not have verification of completed First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. M.K. (sub) did not have verification of CPR certification. .1102(d) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. .2506(d)(1-3) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill which was a lockdown drill was completed on November 25, 2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1424 I understand the challenges of the transition from the regular school day to a licensed program in which supervision is more regulated. Once children enter your program, even if it is before the dismissal bell, they become your responsibility and must be adequately supervised at all times. Children should not be allowed to leave the program unsupervised by an after-school staff member. Item #428 – A current activity plan is to be prepared and posted for each group. Recommend completing the activity plan by Friday of each week and have posted by the end of the day to be ready for activities at the start of each week. Please be mindful that children are to assist in the activity plan process. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (b) Opportunities must be provided for children to participate in the planning and the implementation of activities. Item #805 – A fire drill is to be conducted each month that the children are in attendance in out of school activities. You should coordinate with school personnel and adequately schedule a fire drill using the school’s fire alarm system. The fire drill was conducted on March 2, 2025. A drill was required for April, and another drill will be required for the month of May. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. Item # 811 – Four (4) bottles of hand sanitizer was stored under five (5) feet in the cafeteria. There are warnings on the bottle of keep out of reach of children. This was corrected during the visit. Item #1048 & 1049 – The substitute Melissa Kelly did not have a copy of completed First Aid and CPR certification. Ms. Kelly stated she took the training on August 13, 2024. A copy of the certification card is required to ensure all staff have a current and valid CPR and First Aid Certification as required. Item #1811 – An emergency drill is required to be completed once every three (3) months. The last emergency drill, which was a lockdown drill was conducted on November 25, 2024. An emergency drill should have been conducted in February. An emergency drill must be performed prior to closing for the summer. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. As a reminder the following child care requirement reads: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; 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 May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: All medical and health related items such as medical statements, TB test results/questionnaires, health questionnaire for example must be stored in a separate file marked confidential/medical. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. Upon children’s arrival, they washed their hands and then proceeded for snack. Immediately after snack the children moved forward to complete homework. It is recommended that children get an opportunity to unwind after a full day of sitting and educational activity. It is recommended children go outside to get wiggles out before proceeding with homework activities. During the observation of the classroom it was observed that the facility uses a blanket form that is posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. 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) 814-6401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2508 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 28 Completed Date: 5/7/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. Bonnie Mathis, Licensing Supervisor, accompanied me on this visit. A printed signed copy of today’s visit was left on-site. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of May 06, 2025. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill was practiced on March 02, 2025 The last emergency drill was conducted on November 25, 2024 The Emergency Medical Care plan was posted and current. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction There has been one (1) new substitute hired since your annual compliance visit in January. I reviewed the information in the substitute members’ files. Upon arrival we introduced ourselves to Ms. Cunningham and explained the reason for our visit. Ms. Cunningham was available to answer any question and assist us as needed. The indoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors reading and homework, snack, which consisted of Chex mix and fruit juice and departure. 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 violation was written: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available for the two (2) groups of school-age children. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 3/2/25. A fire drill was not conducted for the month of April. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Four (4) bottles of hand sanitizer were stored accessible in the cafeteria. .0604(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. M.K. (sub) did not have verification of completed First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. M.K. (sub) did not have verification of CPR certification. .1102(d) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. .2506(d)(1-3) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill which was a lockdown drill was completed on November 25, 2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1424 I understand the challenges of the transition from the regular school day to a licensed program in which supervision is more regulated. Once children enter your program, even if it is before the dismissal bell, they become your responsibility and must be adequately supervised at all times. Children should not be allowed to leave the program unsupervised by an after-school staff member. Item #428 – A current activity plan is to be prepared and posted for each group. Recommend completing the activity plan by Friday of each week and have posted by the end of the day to be ready for activities at the start of each week. Please be mindful that children are to assist in the activity plan process. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (b) Opportunities must be provided for children to participate in the planning and the implementation of activities. Item #805 – A fire drill is to be conducted each month that the children are in attendance in out of school activities. You should coordinate with school personnel and adequately schedule a fire drill using the school’s fire alarm system. The fire drill was conducted on March 2, 2025. A drill was required for April, and another drill will be required for the month of May. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. Item # 811 – Four (4) bottles of hand sanitizer was stored under five (5) feet in the cafeteria. There are warnings on the bottle of keep out of reach of children. This was corrected during the visit. Item #1048 & 1049 – The substitute Melissa Kelly did not have a copy of completed First Aid and CPR certification. Ms. Kelly stated she took the training on August 13, 2024. A copy of the certification card is required to ensure all staff have a current and valid CPR and First Aid Certification as required. Item #1811 – An emergency drill is required to be completed once every three (3) months. The last emergency drill, which was a lockdown drill was conducted on November 25, 2024. An emergency drill should have been conducted in February. An emergency drill must be performed prior to closing for the summer. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. As a reminder the following child care requirement reads: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; 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 May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: All medical and health related items such as medical statements, TB test results/questionnaires, health questionnaire for example must be stored in a separate file marked confidential/medical. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. Upon children’s arrival, they washed their hands and then proceeded for snack. Immediately after snack the children moved forward to complete homework. It is recommended that children get an opportunity to unwind after a full day of sitting and educational activity. It is recommended children go outside to get wiggles out before proceeding with homework activities. During the observation of the classroom it was observed that the facility uses a blanket form that is posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. 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) 814-6401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 28 Completed Date: 5/7/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. Bonnie Mathis, Licensing Supervisor, accompanied me on this visit. A printed signed copy of today’s visit was left on-site. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of May 06, 2025. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill was practiced on March 02, 2025 The last emergency drill was conducted on November 25, 2024 The Emergency Medical Care plan was posted and current. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction There has been one (1) new substitute hired since your annual compliance visit in January. I reviewed the information in the substitute members’ files. Upon arrival we introduced ourselves to Ms. Cunningham and explained the reason for our visit. Ms. Cunningham was available to answer any question and assist us as needed. The indoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors reading and homework, snack, which consisted of Chex mix and fruit juice and departure. 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 violation was written: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available for the two (2) groups of school-age children. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 3/2/25. A fire drill was not conducted for the month of April. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Four (4) bottles of hand sanitizer were stored accessible in the cafeteria. .0604(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. M.K. (sub) did not have verification of completed First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. M.K. (sub) did not have verification of CPR certification. .1102(d) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. .2506(d)(1-3) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill which was a lockdown drill was completed on November 25, 2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1424 I understand the challenges of the transition from the regular school day to a licensed program in which supervision is more regulated. Once children enter your program, even if it is before the dismissal bell, they become your responsibility and must be adequately supervised at all times. Children should not be allowed to leave the program unsupervised by an after-school staff member. Item #428 – A current activity plan is to be prepared and posted for each group. Recommend completing the activity plan by Friday of each week and have posted by the end of the day to be ready for activities at the start of each week. Please be mindful that children are to assist in the activity plan process. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (b) Opportunities must be provided for children to participate in the planning and the implementation of activities. Item #805 – A fire drill is to be conducted each month that the children are in attendance in out of school activities. You should coordinate with school personnel and adequately schedule a fire drill using the school’s fire alarm system. The fire drill was conducted on March 2, 2025. A drill was required for April, and another drill will be required for the month of May. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. Item # 811 – Four (4) bottles of hand sanitizer was stored under five (5) feet in the cafeteria. There are warnings on the bottle of keep out of reach of children. This was corrected during the visit. Item #1048 & 1049 – The substitute Melissa Kelly did not have a copy of completed First Aid and CPR certification. Ms. Kelly stated she took the training on August 13, 2024. A copy of the certification card is required to ensure all staff have a current and valid CPR and First Aid Certification as required. Item #1811 – An emergency drill is required to be completed once every three (3) months. The last emergency drill, which was a lockdown drill was conducted on November 25, 2024. An emergency drill should have been conducted in February. An emergency drill must be performed prior to closing for the summer. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. As a reminder the following child care requirement reads: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; 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 May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: All medical and health related items such as medical statements, TB test results/questionnaires, health questionnaire for example must be stored in a separate file marked confidential/medical. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. Upon children’s arrival, they washed their hands and then proceeded for snack. Immediately after snack the children moved forward to complete homework. It is recommended that children get an opportunity to unwind after a full day of sitting and educational activity. It is recommended children go outside to get wiggles out before proceeding with homework activities. During the observation of the classroom it was observed that the facility uses a blanket form that is posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. 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) 814-6401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 28 Completed Date: 5/7/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. Bonnie Mathis, Licensing Supervisor, accompanied me on this visit. A printed signed copy of today’s visit was left on-site. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of May 06, 2025. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill was practiced on March 02, 2025 The last emergency drill was conducted on November 25, 2024 The Emergency Medical Care plan was posted and current. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction There has been one (1) new substitute hired since your annual compliance visit in January. I reviewed the information in the substitute members’ files. Upon arrival we introduced ourselves to Ms. Cunningham and explained the reason for our visit. Ms. Cunningham was available to answer any question and assist us as needed. The indoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors reading and homework, snack, which consisted of Chex mix and fruit juice and departure. 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 violation was written: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available for the two (2) groups of school-age children. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 3/2/25. A fire drill was not conducted for the month of April. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Four (4) bottles of hand sanitizer were stored accessible in the cafeteria. .0604(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. M.K. (sub) did not have verification of completed First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. M.K. (sub) did not have verification of CPR certification. .1102(d) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. .2506(d)(1-3) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill which was a lockdown drill was completed on November 25, 2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1424 I understand the challenges of the transition from the regular school day to a licensed program in which supervision is more regulated. Once children enter your program, even if it is before the dismissal bell, they become your responsibility and must be adequately supervised at all times. Children should not be allowed to leave the program unsupervised by an after-school staff member. Item #428 – A current activity plan is to be prepared and posted for each group. Recommend completing the activity plan by Friday of each week and have posted by the end of the day to be ready for activities at the start of each week. Please be mindful that children are to assist in the activity plan process. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (b) Opportunities must be provided for children to participate in the planning and the implementation of activities. Item #805 – A fire drill is to be conducted each month that the children are in attendance in out of school activities. You should coordinate with school personnel and adequately schedule a fire drill using the school’s fire alarm system. The fire drill was conducted on March 2, 2025. A drill was required for April, and another drill will be required for the month of May. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. Item # 811 – Four (4) bottles of hand sanitizer was stored under five (5) feet in the cafeteria. There are warnings on the bottle of keep out of reach of children. This was corrected during the visit. Item #1048 & 1049 – The substitute Melissa Kelly did not have a copy of completed First Aid and CPR certification. Ms. Kelly stated she took the training on August 13, 2024. A copy of the certification card is required to ensure all staff have a current and valid CPR and First Aid Certification as required. Item #1811 – An emergency drill is required to be completed once every three (3) months. The last emergency drill, which was a lockdown drill was conducted on November 25, 2024. An emergency drill should have been conducted in February. An emergency drill must be performed prior to closing for the summer. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. As a reminder the following child care requirement reads: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; 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 May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: All medical and health related items such as medical statements, TB test results/questionnaires, health questionnaire for example must be stored in a separate file marked confidential/medical. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. Upon children’s arrival, they washed their hands and then proceeded for snack. Immediately after snack the children moved forward to complete homework. It is recommended that children get an opportunity to unwind after a full day of sitting and educational activity. It is recommended children go outside to get wiggles out before proceeding with homework activities. During the observation of the classroom it was observed that the facility uses a blanket form that is posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. 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) 814-6401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 28 Completed Date: 5/7/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. Bonnie Mathis, Licensing Supervisor, accompanied me on this visit. A printed signed copy of today’s visit was left on-site. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percentage as of May 06, 2025. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 08, 2025 The last fire drill was practiced on March 02, 2025 The last emergency drill was conducted on November 25, 2024 The Emergency Medical Care plan was posted and current. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction There has been one (1) new substitute hired since your annual compliance visit in January. I reviewed the information in the substitute members’ files. Upon arrival we introduced ourselves to Ms. Cunningham and explained the reason for our visit. Ms. Cunningham was available to answer any question and assist us as needed. The indoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors reading and homework, snack, which consisted of Chex mix and fruit juice and departure. 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 violation was written: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not available for the two (2) groups of school-age children. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 3/2/25. A fire drill was not conducted for the month of April. .0604(t); .0302(d)(5) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Four (4) bottles of hand sanitizer were stored accessible in the cafeteria. .0604(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. M.K. (sub) did not have verification of completed First Aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. M.K. (sub) did not have verification of CPR certification. .1102(d) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. .2506(d)(1-3) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill which was a lockdown drill was completed on November 25, 2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1424 I understand the challenges of the transition from the regular school day to a licensed program in which supervision is more regulated. Once children enter your program, even if it is before the dismissal bell, they become your responsibility and must be adequately supervised at all times. Children should not be allowed to leave the program unsupervised by an after-school staff member. Item #428 – A current activity plan is to be prepared and posted for each group. Recommend completing the activity plan by Friday of each week and have posted by the end of the day to be ready for activities at the start of each week. Please be mindful that children are to assist in the activity plan process. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (b) Opportunities must be provided for children to participate in the planning and the implementation of activities. Item #805 – A fire drill is to be conducted each month that the children are in attendance in out of school activities. You should coordinate with school personnel and adequately schedule a fire drill using the school’s fire alarm system. The fire drill was conducted on March 2, 2025. A drill was required for April, and another drill will be required for the month of May. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. Item # 811 – Four (4) bottles of hand sanitizer was stored under five (5) feet in the cafeteria. There are warnings on the bottle of keep out of reach of children. This was corrected during the visit. Item #1048 & 1049 – The substitute Melissa Kelly did not have a copy of completed First Aid and CPR certification. Ms. Kelly stated she took the training on August 13, 2024. A copy of the certification card is required to ensure all staff have a current and valid CPR and First Aid Certification as required. Item #1811 – An emergency drill is required to be completed once every three (3) months. The last emergency drill, which was a lockdown drill was conducted on November 25, 2024. An emergency drill should have been conducted in February. An emergency drill must be performed prior to closing for the summer. The last day of school is May 22nd. This program does not operate during the summer months and will resume operation in August 2025. As a reminder the following child care requirement reads: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; 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 May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: All medical and health related items such as medical statements, TB test results/questionnaires, health questionnaire for example must be stored in a separate file marked confidential/medical. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. Upon children’s arrival, they washed their hands and then proceeded for snack. Immediately after snack the children moved forward to complete homework. It is recommended that children get an opportunity to unwind after a full day of sitting and educational activity. It is recommended children go outside to get wiggles out before proceeding with homework activities. During the observation of the classroom it was observed that the facility uses a blanket form that is posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. 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) 814-6401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 35 Completed Date: 1/17/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:15 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced Follow-up visit was to verify that the supervision violation written during your Annual Compliance visit had been addressed and corrected. Also, during this visit I reviewed the Staff and Training Worksheet completed by Brittney Cunningham, children’s records and program records. Please refer to the visit summary dated 01/08/2025 for full details of the supervision violation written. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Brittney Cunningham, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Cunnigham assisted me with review of the staff files, children’s files and program records. Since the last your last Annual Compliance visit you have hire all new group leaders, and you yourself are new. During this visit we discussed the requirements for the following child care requirements: Health and Safety Training which is to be completed within the first year of employment. A copy of the training record was left with you today. On-going training requirements and topic areas that count. A copy of the training record was left with you today On-going training hours based on education and hours worked per week. I printed off the child care requirement for you and left it with you today. As we discussed today group leaders enrolled in Elementary Education classes at WCU can be count towards on-going training hours after the first year of employment. Each class would be calculated as 16 X 3 for a total of 48 hours per class. Public School Off-Site Verification Forms where also discussed and copies were left with you today for staff, children’s records and transportation. The last fire drill was conducted on 12/12/2024 The last shelter in place was conducted on 11/25/2024 The last fire inspection was dated 07/29/2024 Based on my observation today the violations written on 01/09/2025 have been corrected. Children were observed being supervised as they exited the cafeteria. A current menu was posted. I marked these items corrected during my visit. The following violation was written Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of staff files, it was noted that two (2) staff members (BA) (JP) had not completed the required training within 90 days of employment. BA hired on 08/29/24 training completed 01/13/15. JP hired on 08/22/24 training completed 12/03/2024. .1102(g) Technical Assistance: Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: The violation written today was marked corrected during visit and a letter of compliance is not required. Consultation: 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2025 Number Present: 35 Completed Date: 1/17/2025 Age: From 5 To 11 Total Minutes: 120 Time In: 03:15 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s Unannounced Follow-up visit was to verify that the supervision violation written during your Annual Compliance visit had been addressed and corrected. Also, during this visit I reviewed the Staff and Training Worksheet completed by Brittney Cunningham, children’s records and program records. Please refer to the visit summary dated 01/08/2025 for full details of the supervision violation written. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Brittney Cunningham, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Cunnigham assisted me with review of the staff files, children’s files and program records. Since the last your last Annual Compliance visit you have hire all new group leaders, and you yourself are new. During this visit we discussed the requirements for the following child care requirements: Health and Safety Training which is to be completed within the first year of employment. A copy of the training record was left with you today. On-going training requirements and topic areas that count. A copy of the training record was left with you today On-going training hours based on education and hours worked per week. I printed off the child care requirement for you and left it with you today. As we discussed today group leaders enrolled in Elementary Education classes at WCU can be count towards on-going training hours after the first year of employment. Each class would be calculated as 16 X 3 for a total of 48 hours per class. Public School Off-Site Verification Forms where also discussed and copies were left with you today for staff, children’s records and transportation. The last fire drill was conducted on 12/12/2024 The last shelter in place was conducted on 11/25/2024 The last fire inspection was dated 07/29/2024 Based on my observation today the violations written on 01/09/2025 have been corrected. Children were observed being supervised as they exited the cafeteria. A current menu was posted. I marked these items corrected during my visit. The following violation was written Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. After review of staff files, it was noted that two (2) staff members (BA) (JP) had not completed the required training within 90 days of employment. BA hired on 08/29/24 training completed 01/13/15. JP hired on 08/22/24 training completed 12/03/2024. .1102(g) Technical Assistance: Item 1897 Recognizing and Responding to Suspicions of Child Maltreatment: this training is a two (2) hour training to be completed through the Prevent Child Abuse NC website and must be completed within 90 days of employment. I suggest creating some kind of reminder system to alert you when new employees’ three (3) month work date is approaching. Compliance Plan: The violation written today was marked corrected during visit and a letter of compliance is not required. Consultation: 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 38 Completed Date: 1/8/2025 Age: From 5 To 11 Total Minutes: 100 Time In: 02:50 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Brittney Cunnigham, Program Coordinator. You have recently been hired has the Program Coordinator. Staff and Training Worksheets had not been completed prior to my visit and you were having to cover a group during my visit. Another visit will be conducted to review staff and children’s files. The indoor areas the cafeteria and the gym 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. The program’s compliance history was ninety-three (93) percent as of January 08. 2025 prior to the completion of this visit. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on January 17, 2024 The last sanitation inspection was conducted on September 20, 2024 with demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator and explained the reason for my visit. Children were observed in the cafeteria having snack which consisted of yogurt, Chex mix and fruit juice. Children were observed during homework time, reading time, playing with fine motor and building materials, books and plastic food and dishes. A group of children were observed playing in the gym. 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/ Another visit will be made in the near future to review staff and children files please note that violations may be added to the visit summary during that visit. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The posted snack menu posted on the information board was for November. 10A NCAC 09 .0901(b) 1424 School-aged children were not adequately supervised. As children were arriving, they were observed coming into the cafeteria being checked in by the group leader and then walking back out of the cafeteria and down the hallway to wash their hands without a staff member. At 4:06 a group of children were observed lining up to go to the gym from the cafeteria and child was observed walking out of the cafeteria and down the hallway without the group leader knowing he had left the group. At 4:09 another child was observed leaving the cafeteria unsupervised after the group had left to go the gym and playing on the squares in the foyer area before going into the gym. .2506(d)(1-3) Technical Assistance: Item 526 current menus need to be posted in an area that is easily visible for parents/guardians and staff to ensure that children with allergies are provided with the appropriate items and substitutions. Also by posting the menu parents/guardians are aware of what children are being served for meals and snacks. I would suggest that you communicate with the cafeteria staff regarding this violation and the importance of having the menu before the first of each month. Item 1424 Supervision is basic to the safety and the prevention of injury and maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed or inappropriate behavior. During today’s visit we discussed the following: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Compliance Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by January 22, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation: 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. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 41 Completed Date: 5/8/2024 Age: From 5 To 11 Total Minutes: 90 Time In: 03:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility is owned and operated by Jackson County Public Schools. A computerized generated report of today’s visit was completed and reviewed with Denise Boud, Program Coordinator, and signed by Sarah Upton, Child Care Consultant. Ms. Boud signed this visit summary during the visit. A printed signed copy of the visit summary was left with Ms. Boud today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction Permit type – Three Star License issued on July 23, 2020. The last annual compliance visit was conducted on January 17, 2024 The last fire drill was practiced on April 30, 2024 The last emergency drill was conducted on January 21, 2024 There have been two (2) new group leaders hired since your annual compliance visit in January. You made a copy of the Staff and Training Worksheet with the new staff members information. I reviewed the information in both staff members’ files. Today, Ms. Boud was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors free play and departure. 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 violation was written: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on 01-31-2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1811 an emergency drill such as a shelter in place drill or lockdown drill must be conducted at least every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by, May 22, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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 Consultation is provided as follows: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 41 Completed Date: 5/8/2024 Age: From 5 To 11 Total Minutes: 90 Time In: 03:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility is owned and operated by Jackson County Public Schools. A computerized generated report of today’s visit was completed and reviewed with Denise Boud, Program Coordinator, and signed by Sarah Upton, Child Care Consultant. Ms. Boud signed this visit summary during the visit. A printed signed copy of the visit summary was left with Ms. Boud today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction Permit type – Three Star License issued on July 23, 2020. The last annual compliance visit was conducted on January 17, 2024 The last fire drill was practiced on April 30, 2024 The last emergency drill was conducted on January 21, 2024 There have been two (2) new group leaders hired since your annual compliance visit in January. You made a copy of the Staff and Training Worksheet with the new staff members information. I reviewed the information in both staff members’ files. Today, Ms. Boud was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors free play and departure. 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 violation was written: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on 01-31-2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1811 an emergency drill such as a shelter in place drill or lockdown drill must be conducted at least every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by, May 22, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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 Consultation is provided as follows: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 41 Completed Date: 5/8/2024 Age: From 5 To 11 Total Minutes: 90 Time In: 03:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility is owned and operated by Jackson County Public Schools. A computerized generated report of today’s visit was completed and reviewed with Denise Boud, Program Coordinator, and signed by Sarah Upton, Child Care Consultant. Ms. Boud signed this visit summary during the visit. A printed signed copy of the visit summary was left with Ms. Boud today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction Permit type – Three Star License issued on July 23, 2020. The last annual compliance visit was conducted on January 17, 2024 The last fire drill was practiced on April 30, 2024 The last emergency drill was conducted on January 21, 2024 There have been two (2) new group leaders hired since your annual compliance visit in January. You made a copy of the Staff and Training Worksheet with the new staff members information. I reviewed the information in both staff members’ files. Today, Ms. Boud was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors free play and departure. 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 violation was written: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on 01-31-2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1811 an emergency drill such as a shelter in place drill or lockdown drill must be conducted at least every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by, May 22, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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 Consultation is provided as follows: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 41 Completed Date: 5/8/2024 Age: From 5 To 11 Total Minutes: 90 Time In: 03:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This facility is owned and operated by Jackson County Public Schools. A computerized generated report of today’s visit was completed and reviewed with Denise Boud, Program Coordinator, and signed by Sarah Upton, Child Care Consultant. Ms. Boud signed this visit summary during the visit. A printed signed copy of the visit summary was left with Ms. Boud today. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restriction Permit type – Three Star License issued on July 23, 2020. The last annual compliance visit was conducted on January 17, 2024 The last fire drill was practiced on April 30, 2024 The last emergency drill was conducted on January 21, 2024 There have been two (2) new group leaders hired since your annual compliance visit in January. You made a copy of the Staff and Training Worksheet with the new staff members information. I reviewed the information in both staff members’ files. Today, Ms. Boud was available to answer any question and assist me as needed. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Children were observed during indoors free play and departure. 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 violation was written: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on 01-31-2024 .0604(u);.0302(d)(8) Technical Assistance: Item 1811 an emergency drill such as a shelter in place drill or lockdown drill must be conducted at least every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by, May 22, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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 Consultation is provided as follows: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2510 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-105 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CULLOWHEE VALLEY ELEMENTARY Facility ID: 50000062 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 1/17/2024 Number Present: 36 Completed Date: 1/17/2024 Age: From 5 To 11 Total Minutes: 165 Time In: 03:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Denise Boud, Program Coordinator, during the visit. An electronic signed copy of the visit summary electronically emailed to Ms. Boud and Holly Whisnant, Administrator, for a signature as well. Today, Ms. Boud accompanied me. 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. This program is owned and operated by Jackson County Public Schools. Permit type – Three Star License issued on July 23, 2020. Special Services/Restrictions –School age one, meets enhanced space, and playground does not meet child care playground safety standards. The last annual compliance visit was conducted on 01-26-2023 The last fire drill was practiced on 12-21-2023 The last fire inspection was conducted on 07-24-2023 The last sanitation inspection was conducted in Septemebr with three (3) demerits for a Superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Program Coordinator, Denise Boud. Children were observed in the cafeteria having snack which consisted of yogurt and animal crackers. Children were observed playing with fine motor and building materials, books and plastic food and dishes. Children had access to art materials as well. A group of children were observed playing outside. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival to the facility it was noted that all thirty-six children present wee being cared for in one (1) large group with two (2) teachers. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. After review of new teachers' files it was noted that new teacher GS was hired on 11-14-2023 but did not have a medical until 12-08-2023. Another new teacher LS was hired on 09-07-23 but did not have a medical on file. 10A NCAC 09 .0701(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. After review of new teachers' files it was noted that new teaccher GS file did not contain a signed and dated statement that they had received personnel and operational policies. 10A NCAC 09 .0514(g) 1424 School-aged children were not adequately supervised. During my time at the faclity it was observed on several occassions children walking out of the cafeteria and down the hall without a teacher to the bathroom. Many times the teachers were unware a child had left the cafeteria and were not aware of where the child was going or if the child returned. While children were playing outside when parents came to pick them up children were sent inside by themselves and walked up the hallway without any adult supervsion to the cafeteria. .2506(d)(1-3) 1432 Within the first 6 weeks of assuming responsibility for supervising group of children, each employee did not complete at least 3 additional clock hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. 10A NCAC 09 .2510(i)(2) 1449 Within the first two weeks of assuming responsibilty for supervising a group of children, staff did not complete at least 6 hours of training on topics outlined in this rule. After review of new teachers' files it was noted that new teacher GS hired on 11-14-2023 did not have documentation that the required orientation had been completed. .2510(i)(1)(A-D) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. After review of new teachers' files it was noted that new teacher GS did not have documentation that the faclity's EPR plan had been reviewed. .0607(f) Techincal Assistance: Item 301 staff to child ratio and maximum group size must be maintained at times. For your program your staff to child ratio is listed as one staff to every twenty-five children and you may not exceed twenty-five children in one group at any time. Children need to be separated into easily identifiable groups. An example would be keeping children in groups based on grades such as K-2nd grades, 3rd-5th. According to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: 5 years and older 1/25 maximum group size 25 Item 1032 all teachers must have a medical statement on file prior to employment. *A medical report is required for all staff prior to employment. Plan to require any new staff to have a medical report prior to employment. According to 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Item Requirements: Due Date: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item 1233 all teachers should have a signed and dated statement in their file verifying that they have reviewed the facilities personnel and operational policies. According to 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item 1424 all children must be adequately supervised at all times. According to 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS(d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; Item 1432 and 1449 all new teachers must complete the orientation topics within the required timeframe. According to 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations Item 1825 the facility’s EPR plan must be reviewed with all new staff during orientation and at least annually with existing staff. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents 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 may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/31/2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. 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. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times