10A NCAC 09 .2903 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: 0925-398L Visit Date: 9/29/2025 Number Present: 28 Completed Date: 9/29/2025 Age: From 4 To 10 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. An electronic signed copy of the visit summary was electronically emailed to you and Kelli Rhodes, Instructional Coach for Special Education, for a signature due to portable printer not working. Today Ms. Kennedy and Ms. Rhodes assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percentage (94%) as of 09/29/2025. The facility operates with a five-star license issued on 08/22/2022. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The complaint was received by the Division of Child Development and Early Education on 09/23/2025 and sent to me on 09/24/2024. There are concerns that students in developmental day classrooms are never given opportunities for inclusion with non-disabled peers unless a parent requests it and the IEP school team agrees. **During today’s visit I spoke with staff, and it was reported that children join the school during school assemblies in the gym and are a part of special activities that occur on campus. For example, the students will participate in Fire Prevention Day that is coming up in October with their peers. It was also reported that they work to have children participate in activities as children are able. They are currently working with the children in the classroom to sit at the table for lunch so that children can have lunch in the cafeteria with their peers. It was reported that this process takes some time and usually by December children are ready and can sit at the table in the cafeteria for lunch. There are some concerns with starting this process to soon in that children would get up from the lunch table and move about the cafeteria. Based on the information received today this concern was unsubstantiated. There is a concern that one of the lead teachers is not a fully certified EC teacher. There is currently one lead teacher that is working on completing her Special Education degree and has a current residency license. **I would like to get further guidance from my supervisor. I will be in contact with you through email regarding the outcome of this concerns after I speak with my supervisor. There are concerns regarding cleanliness and that the diaper changing procedures are not being followed. ** During today’s visit I observed the process the staff follow after a diaper change. Staff followed procedures that are required. Staff reported that they had spoken with Environmental Health regarding diaper changing procedures and follow what they require. Restrooms and both classrooms were clean. I observed staff cleaning and sanitizing space two during my visit today. Based on the information received today this concern was unsubstantiated. There is a concern that the doors on the hallway where the classroom is located are not locked and closed not all times. **Space one (1), which is for older school aged children has a code pad lock that staff must enter a code to enter or exit the classroom from at the door leading out into the hallway and the door that exits out onto the playground. Space two (2), has a code key pad at the door that exits the classroom onto the playground and a half wall with a half door with a slide lock on the front side of the door placed so it is inaccessible for the children at the door leading into the hallway. The main doors at the entrance of the hallway are left open because children from the cafeteria need to enter the restrooms located on the hallway. There are sufficient measures within the classroom that should prevent children from entering the hallway unattended. Based on the information received today this concern was unsubstantiated. The following violation was documented during today's visit: Violation Number Comment Rule 1747 During the 10-month school year, each group of school-age children did not have at least one teacher who holds a State certification as a Special Education Teacher. For centers operating 12 months, during the two additional months of operation, each group of children did not have a teacher who had completed at least two semester hours of school-age care related coursework and completed or enrolled in at least two additional semester hours of school-age coursework. In space two (2) which is a school aged certified developmental day classroom there is no one currently working n the classroom that holds a State certification as a Special Education Teacher. .2903(f) Technical Assistance Provided: I spoke with my supervisor on 09/30/2025 regarding the rule10A NCAC 09 .2903 STAFF QUALIFICATIONS (f) For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. Based on the rule there is no leniency for staff to be working towards their certification and each age group must have at least one teacher that holds State certification as a Special Education Teacher. So, for Ms. Kennedy’s classroom there will need to be someone put in place that holds the State certification for the full operating hours of the day. Another option would be to remove that classroom from the license until MS. Kennedy completes her certification. 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 October 14, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: consultant.name@ 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 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: Please note that a violation may be added regarding staff qualifications once I speak with my supervisor. If a violation is added you will receive an addendum page and a copy a new copy of the visit summary. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.uptone@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.

NC GS 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: 0925-398L Visit Date: 9/29/2025 Number Present: 28 Completed Date: 9/29/2025 Age: From 4 To 10 Total Minutes: 180 Time In: 12:00 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. An electronic signed copy of the visit summary was electronically emailed to you and Kelli Rhodes, Instructional Coach for Special Education, for a signature due to portable printer not working. Today Ms. Kennedy and Ms. Rhodes assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percentage (94%) as of 09/29/2025. The facility operates with a five-star license issued on 08/22/2022. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The complaint was received by the Division of Child Development and Early Education on 09/23/2025 and sent to me on 09/24/2024. There are concerns that students in developmental day classrooms are never given opportunities for inclusion with non-disabled peers unless a parent requests it and the IEP school team agrees. **During today’s visit I spoke with staff, and it was reported that children join the school during school assemblies in the gym and are a part of special activities that occur on campus. For example, the students will participate in Fire Prevention Day that is coming up in October with their peers. It was also reported that they work to have children participate in activities as children are able. They are currently working with the children in the classroom to sit at the table for lunch so that children can have lunch in the cafeteria with their peers. It was reported that this process takes some time and usually by December children are ready and can sit at the table in the cafeteria for lunch. There are some concerns with starting this process to soon in that children would get up from the lunch table and move about the cafeteria. Based on the information received today this concern was unsubstantiated. There is a concern that one of the lead teachers is not a fully certified EC teacher. There is currently one lead teacher that is working on completing her Special Education degree and has a current residency license. **I would like to get further guidance from my supervisor. I will be in contact with you through email regarding the outcome of this concerns after I speak with my supervisor. There are concerns regarding cleanliness and that the diaper changing procedures are not being followed. ** During today’s visit I observed the process the staff follow after a diaper change. Staff followed procedures that are required. Staff reported that they had spoken with Environmental Health regarding diaper changing procedures and follow what they require. Restrooms and both classrooms were clean. I observed staff cleaning and sanitizing space two during my visit today. Based on the information received today this concern was unsubstantiated. There is a concern that the doors on the hallway where the classroom is located are not locked and closed not all times. **Space one (1), which is for older school aged children has a code pad lock that staff must enter a code to enter or exit the classroom from at the door leading out into the hallway and the door that exits out onto the playground. Space two (2), has a code key pad at the door that exits the classroom onto the playground and a half wall with a half door with a slide lock on the front side of the door placed so it is inaccessible for the children at the door leading into the hallway. The main doors at the entrance of the hallway are left open because children from the cafeteria need to enter the restrooms located on the hallway. There are sufficient measures within the classroom that should prevent children from entering the hallway unattended. Based on the information received today this concern was unsubstantiated. The following violation was documented during today's visit: Violation Number Comment Rule 1747 During the 10-month school year, each group of school-age children did not have at least one teacher who holds a State certification as a Special Education Teacher. For centers operating 12 months, during the two additional months of operation, each group of children did not have a teacher who had completed at least two semester hours of school-age care related coursework and completed or enrolled in at least two additional semester hours of school-age coursework. In space two (2) which is a school aged certified developmental day classroom there is no one currently working n the classroom that holds a State certification as a Special Education Teacher. .2903(f) Technical Assistance Provided: I spoke with my supervisor on 09/30/2025 regarding the rule10A NCAC 09 .2903 STAFF QUALIFICATIONS (f) For centers operating for 10 months as specified by Rule .2902(a) of this Section, during the 10-month school year, as defined by the State Board of Education, each group of school-age children shall have at least one teacher who holds State certification as a Special Education Teacher. For centers operating for 12 months as specified by Rule .2902(a) of this Section, during the two additional months of operation each group of school-age children shall have at least one teacher who has completed at least two semester hours of school-age care related coursework and has completed or is enrolled in at least two additional semester hours of school-age related coursework. Based on the rule there is no leniency for staff to be working towards their certification and each age group must have at least one teacher that holds State certification as a Special Education Teacher. So, for Ms. Kennedy’s classroom there will need to be someone put in place that holds the State certification for the full operating hours of the day. Another option would be to remove that classroom from the license until MS. Kennedy completes her certification. 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 October 14, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: consultant.name@ 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 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: Please note that a violation may be added regarding staff qualifications once I speak with my supervisor. If a violation is added you will receive an addendum page and a copy a new copy of the visit summary. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.uptone@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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1102 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1403 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 30 Completed Date: 9/11/2025 Age: From 4 To 10 Total Minutes: 165 Time In: 10:45 AM Time Out: 01:30 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 also signed by, Heather Drye, lead teacher, during the visit. An electronic signed copy of the visit summary was emailed to Cassie Rogers, NCPREK Coordinator, Kelli Rhodes, Instructional Coach for Special Education and the lead teacher for the NCPREK classroom Leslie Garrision. Due to printer issues this visit summary could not be printed off at the facility Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 16, 2024 The last fire drill was practiced on August, 2025 An Emergency Drill (shelter in place or lockdown) needs to be conducted. The last playground inspection was documented on August 30, 20 The last fire inspection was approved on July 28, 2025 The last sanitation inspection was conducted on January 23, 2025 with eight (8) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Lead water testing was completed on September 24, 2024, with Cullowhee Valley Elementary School, which houses these classrooms without hazards. You will need to link the license for your program with the school. Lead paint and asbestos testing for the school building enrollment has started. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged outdoor free play, transitioning from outside to inside, lunch, which consisted of club sandwich, pasta salad, apple slices, tater tots and milk and a story time. I also observed the NCPREK classroom preparing for nap. I spoke with Ms. Garrison about being sure that all children could be seen during nap and that all children’s faces are not covered by their blankets and staff can see their lips and faces. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during your routine unannounced visit in the spring. Two children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today. I reviewed files for all staff. The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This facility is closed during the summer from June until August and reopens in August with the public school system. A shelter-in-place or lockdown drill should have been conducted in August to stay within the every three month requirement. .0604(u);.0302(d)(8) Technical Assistance: 1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 September 25, 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 is provided as follows: All teachers’ assistants working in the NCPRE-K classroom must complete a minimum of 15 hours of annual in-service professional development. Today staff were preparing for water day on the following day and were pulling out wading pools for the school aged children. As we discussed today for children enrolled in the program to be able to participate in the water day activities such as wading pools you must meet the child care requirements in the following section: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS 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. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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 .0701 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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

NC GS 110-90 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 28 Completed Date: 9/16/2024 Age: From 3 To 12 Total Minutes: 160 Time In: 10:50 AM Time Out: 01:30 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 also signed by, Kelli Rhoads, Instructional Coach for Special Education, during the visit. An electronic signed copy of the visit summary was emailed to Ms. Rogers. Today, the indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage as of 09/16/2024. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on August 28, 2024 An Emergency Drill (shelter in place or lockdown) needs to be conducted on August 23, 2024 The last playground inspection was documented on August 30, 2024 The last fire inspection was approved on July 29, 2024 The last sanitation inspection was conducted on January 25, 2024 with two (2) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of corndogs, French fires, carrots, applesaouce and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. 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 developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in all three classrooms. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today because it has not been completed. The monitoring tool will be reviewed during you routine unannounced visit in the spring. Three children’s files were monitored today The classroom operates from 7:45 a.m. to 3:00 p.m. Staff and Training Worksheets were not available for review today and staff reported that they were still working on getting them completed. Another visit was scheduled for Wednesday September 18, 2024 to review the worksheets. The following violations were documented during today’s visit Violation Number Comment Rule 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 the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have medical report prior to employment. CP was hired on 03/04/2024 medical report was dated 03/06/2024. BF was hired on 09/11/2024 and did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the staff and training works on 09/18/2024 it was noted that two (2) new hires did not have TB test or screening prior to employment. CP was hired on 03/04/2024 TB was dated 05/01/2024. BF was hired on 09/11/2024 and did not have a TB test or screening on file. .0701(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the NCPREK classroom after review of three (3) children's files it was noted that over-the-counter authorization was not completed in full for two (2) children. One (1) of the three (3) authorization form was missing all of the required information except the parent signature. On the other authorization form it was missing the name of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item 1882 Permission slips for over-the-counter medications have many areas that need to be completed by the parent and/or staff. It is extremely important that all areas be reviewed before a medication is left at the faclity and before a medication is used. Today I spoke with the lead teacher and explained to her the areas that needed to be completed and make sure that all areas are being checked before she takes it from the parent. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 30, 2024 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 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: 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 .0304 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 .0607 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 .0608 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 .0701 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 .2703 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 29 Completed Date: 4/16/2024 Age: From 4 To 12 Total Minutes: 315 Time In: 12:15 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant during the visit. A signed copy of the visit summary could not be left with anyone since the office of the school being closed and staff had already left by the time the visit summary was completed. Violations written today were reviewed with Kelli Rhoads, Instructional Coach for Special Education and Leslie Garrison, Lead Teacher for NCPRE-K. I request that Holly Whisnant, Administrator, sign a copy email back to me. This facility is owned and operated by Jackson County Public Schools. There are currently three classrooms that are licensed in the school building. One classroom is a NCPRE-K and certified Developmental Day classroom for children ages four-through-five years of age. The other two classrooms are School Aged Developmental Day classrooms for children school age five through thirteen years of age. Transportation is provided through the Jackson County Public Schools. During my visit today I worked with the teachers in each classroom and also with Ms. Rhoads, Instructional Coach for Special Education. Teacher were allowed to ask and answer questions throughout the visit 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 Restrictions One new teacher has been hired since your last Annual Compliance. Her file was reviewed today. Additionally, there were three substitutes that are employed through EES that is contracted by Jackson County Schools present during my visit today. I reviewed their information that was available as well. Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 19, 2023 The last fire drill was practiced on March 19, 2024 An Emergency Drill was practiced on March 06, 2024. The following violations were written: Violation Number Comment Rule 1030 Application for employment and date of birth was not on file for all staff. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have an application on file. .0302(d)(1)(A) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have results indicating that they were free of active TB and/or TB test. Additionally one (1) new teacher (LG) reported that she did not have a TB test prior to caring for children. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a emergency information on file. Additionally one (1) teacher (TC) did not have emergency information one file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. After review of the three (3) substitutes information employed through ESS it was noted that one (1) substitute (TR) did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. After review of the three (3) substitutes employed through ESS it was noted that two (2) substitutes (MJ and TR) did not have documentation that the center's EPR Plan had been reviewed with them nor the location of the plan. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the three (3) substitutes employed through ESS it was noted that one (1) substitute (TR) working in the NCPRE-K classroom did not have signed acknowledgement that the center's Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. After review of the three (3) substitutes information employed through ESS it was noted that all three (3) substitutes (TR, MK, MJ) did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical Assistance: Anyone substituting through the ESS must have all the required information for substitutes on site and available for review. As a reminder any substitutes employed through ESS are not considered DPI staff and can not be listed on the DPI Staff Records Verification form and items cannot be filed at Central Office or off-site. They can be kept with the individual and brought in every time they sub at this location or a copy of the required information can be left at the faclity. Item 1030 All staff not employed through Jackson County Public Schools must have an application on site and available for review, this includes substitutes hired through ESS. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; Item# 1033 All staff must have results that they are free of active TB. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment Due Date: On or before first day of work. Item# 1035 All staff must have emergency information on file. Staff members must complete an Emergency Information form. This information must be maintained in the staff member’s file. 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: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Item 1757 Ms. Robinson is employed through the ESS, a substitute teacher provider program used by Jackson County Public Schools. As we talked about today anyone caring for children and/or counting in staff/ratio must meet certain requirements before substituting in licensed program. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1826 All substitutes and volunteers must be informed of your Emergency Preparedness and Response Plan and its location. There needs to be a signed receipt acknowledging that this has been reviewed with them and placed in the individual’s file and available for review. According to 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item# 1958 All substitutes must have a health questionnaire on file prior to or on first day of employment indicating the individuals are emotionally and physically capable of caring for children. Documentation of this test or screening must be maintained in a separate, confidential file. 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: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children Due Date: Prior to or on first day of employment. 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 April 30, 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: Possible solution to prevent repeat violations with substitute paperwork could be that substitutes hired through ESS have required information in a file that they take with them to each licensed facility or have a way for to review the information electronically. 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 .1801 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 28 Completed Date: 9/21/2023 Age: From 4 To 11 Total Minutes: 105 Time In: 11:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow-up on a qualification letter violation written during your Annual Compliance visit conducted on September 19, 2023. Please refer to the visit dated September 19, 2023 for full details of the violations written. Upon my arrival I explained the reason for my visit to the lead teachers in the NCPRE-K classroom and the School Aged Developmental Day classrooms. A computerized generated report of today’s visit was completed, and signed by Sarah Upton, Child Care Consultant. An electronic signed copy of the visit summary was electronically emailed to Holly Whisnant. I reviewed this visit summary with the lead teacher in the NCPRE-K classroom. During this visit I observed children and teachers in the NCPRE-K classroom washing their hands upon reentering the classroom from outside. Violations item 608 and 609 were marked corrected based on my observation. Alymkan Sydykbekova was not in the classroom and was not working within the licensed space. Ms. Skydykbekova, has submitted the required information including finger prints. Once Ms. Sydybekova receives her qualification letter please send me a copy. The following violation was written. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Today upon my arrival I went outside on the NCPRE-K playground to speak with the NCPRE-K teacher. As I exited the building I observed all three (3) teachers sitting at the picnic tables while children were playing on the climber, riding bikes and playing in the grassy area away from the teachers. I explained to the teachers the child care requirement regarding supervision. .1801(a)(1-5) Technical Assistance: Item 303 as explained to the NCPRE-K teachers today teachers need to be up and moving around the playground area. Teachers need to be positioned through the playground area to ensure all areas that children are playing are supervised. Teachers should be interacting with the children. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; Another visit will be made to ensure that this violation is being corrected. 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 .0304 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 .1102 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 .1103 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 .2703 · Violation

Name of Operation: CULLOWHEE VALLEY LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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 LIFE SKILLS CLASSES Facility ID: 50000064 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 31 Completed Date: 9/19/2023 Age: From 4 To 11 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit could not be completed today due to connectivity issues. Information regarding today's visit was discussed with Laura Dills, Executive Director of Federal Program and Elementary Education, Kelly Doppke, Director of Student Support Services and Kelli Rhodes, Instructional Coach for Special Education. A signed computerized visit by Sarah Upton, Child Care Consultant was electronically emailed to Holly Whisnant Administrator for signature. Ms. Whisnant was involved in a staff meeting at the conclusion of my visit. Today the lead teacher in the NCPRE-K room assisted me during my time in that classroom and Kelli Rhoads, Instructional Coach for Special Education assisted me during my time in the two (2) school age developmental day classrooms. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage as of 09/19/2023. This program is operated through Jackson County Public Schools Permit type – 5 Star licensed issued on August 22, 2022. This facility added a NCPREK classroom in August 2022 and changed the age range to three through twelve years of age. Special Services/Restrictions –Developmental Day Certified for all three classrooms. Two (2) of the classrooms are for children that are considered school age. One (1) of the classrooms is for children three through five years of age. NCPREK. Approved for transportation through Jackson County Public School buses. SA playground does not meet the child care playground safety requirements. May serve children thirteen to fifteen years of age. Meeting reduced ratios. The last annual compliance visit was conducted on September 21, 2022 The last fire drill was practiced on August 30, 2023 An Emergency Drill (shelter in place or lockdown) needs to be conducted ASAP The last playground inspection was documented on August 30, 2023 The last fire inspection was approved on July 24, 2023 The last sanitation inspection was conducted on September 18, 2023 with four (4) demerits for a superior rating. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Lead Teacher in the NCPREK classroom and explained the reason for my visit. I observed the group with four-year-old children engaged in circle time activities and lunch, which consisted of hotdogs, baked beans, slaw, pears and milk. I observed the group with SA children during outside free play, indoor free play and teacher directed activity. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In the NCPRE-K classroom children were not observed washing their hands after lunch or upon re-entering the classroom from outside. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Teachers in the NCPRE-K classroom were not observed washing their hands upon re-entering the classroom from outside 15A NCAC 18A .2803(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher assistant Alymkan Sydykbekova had not completed the process for a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Teacher assistant Alymkan Sydybekova, did not have a qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. After review of teachers file it was noted that one (1) teacher (OK) had not completed health and safety training within five years of completing the previous health and safety training. .1103(b) Technical assistance: Item 608 all children must wash their hands after eating and upon re-entering the classroom from outside. Item 609 all teachers need to wash their hands upon re-entering the classroom from outside. According to 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages Item 1041 Any person seeking employment must complete the Criminal Background Check completed through DCDEE PRIOR to employment and have a qualification on file. This is the only kind of background check that qualifies. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item 1757 anyone that is going to be left alone or counted in staff to child ratio must have a qualification letter through DCDEE on file and available for review. According to 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. **During today's visit I spoke with Ms. Sydykbekova and Ms. Doppke regarding the policies set forth by DCDEE regarding employees without a qualification letter. As explained today Ms. Sydybekova will not be allowed to return to work in the licensed program until she has received her qualification letter and a copy is on file. You will need to let me know when a qualification letter is received. Per DCDEE policies and procedures I will be making another visit soon to ensure that Ms. Sydykbekova is not on site. Item 1899 all health and safety training topics must be completed again within five years of the previous completion date. According to 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 October 03, 2023 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 a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upto@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