10A NCAC 09 .0304 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0802 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 19 Completed Date: 12/2/2025 Age: From 5 To 11 Total Minutes: 135 Time In: 03:00 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Susie Tweed, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 12/2/2025. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Center License, issued 3/9/2020 Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one from the 7pt level. We discussed that removal of the restriction playground does not meet NC Child Care Licensing Safety Requirements. is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 1/7/2025 The last fire drill was practiced on 11/20/2025. A drill was missed in September. The last shelter-in-place drill was practiced on 11/21/2025. The last fire inspection was approved on 8/6/2025. The last sanitation status change 8/11/2025. Exempt due to legislative change. Closed status was issued. Lead water testing was completed on 5/24/2024. Lead paint and asbestos testing was completed on 7/29/2024 and is linked to Hillandale Elementary. The Emergency Medical Care plan was posted and current. Emergency Preparedness and Response plan was last updated on 8/19/2025. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site, and transportation is provided at that site for field trips. During the visit, I observed the group with five- to eleven-year-old children entering the cafeteria at 3:00p. The children put away their belonging in individual tubs. After putting belonging away, the children sat at the table coloring in books. The children lined up to transition to the restroom. At 3:05p the group transitioned back to the cafeteria for snack. Snack consisted of chex mix, mandarin oranges, and milk. After snack, the children transitioned to free play with magnetic tiles, linking blocks, car tracks, and making cinnamon ornaments. At 4:00p the group cleaned up to transition outdoors for gross motor play. While reviewing staff files, I observed that staff member hired 5/5/2005 did not have documentation of the Emergency Medical Care plan review for the 2025-2026 school year. The last documented review was completed on 8/8/2024. Outdoors, surfacing is low around the big climbing structure and slide. I recommend adding more rubber mulch or raking mulch from the barrier to provide more surfacing. Quality Rating and Improvement System (QRIS): The facility is unsure which pathway they would like to pursue at this time. The program coordinator will reach out to upper management to discuss which pathway would be best for the program. Then reach out to me to schedule a technical assistance visit by February 28, 2026. The technical assistance visit will be an announced visit to discuss the QRIS pathways. Reminder a pathway must be select no later than March 31, 2026 and the star rated license must be reassessed by 12/31/2026. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill was not conducted for the month of September. .0604(t); .0302(d)(5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. 10A NCAC 09 .0802(a) Technical assistance was provided as follows: Item 805- A monthly fire drill was not conducted for the month of September. When asked the Program Coordinator stated that she was out on leave and the drill was not conducted. We discussed that to preschedule drills and note them on a calendar that is shared with the group leader to assist in their absence. Rule Reference: 10A NCAC 09.0604(t) Item 862- Emergency Medical Care (EMC) plan review was not conducted annually. The last EMC plan review was completed on 8/8/2024. We discussed having a blank copy of the EMC plan review ready at the beginning of the year for staff to completed once the plan has been reviewed with them. Rule Reference: 10A NCAC 09.0802(a) Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed the facility ABCMS portal is being updated, the facility will need to ensure the administrator listed on the employee roster. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1103 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 23 Completed Date: 1/7/2025 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Susie Tweed, Program Coordinator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/23/2024. This school age program operated by Henderson County Public Schools, is located in Hillandale Elementary School. Permit type – Five (5) Star Rated License, issued 3/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 11/20/2024. A fire drill was not conducted for the month of December. The last shelter-in-place drill was practiced on 8/31/2024. A emergency drill was due in December 2024 and was not conducted. The last fire inspection was approved on 8/4/2024. The last sanitation inspection was conducted on 8/19/2024 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. During the visit, I observed the group with five- to ten-year-old children entering the cafeteria at 2:50p. The children put away their belonging in individual tubs. After putting belonging away, the children began drawing in notebooks. The children did not wash or sanitize their hands upon arrival to the cafeteria. At 3:00p group 2 transitioned to the restroom to wash hands. After using the restroom, the children transitioned back to the cafeteria for snack. Snack consisted of cheez-its and milk. After snack, the children transitioned to free play at the tables with legos, gears, puzzles, nuts and bolts, and card games. Group 1 cleaned up and transitioned outdoors for gross motor play at 4:00p. The group engaged in play with the climber, soccer ball and goals, and swings. Group 2 remained indoors engaged in free play. At 4:30p group 1 transitioned indoors to wash hands and engage in free play. Group 2 transitioned outdoors for gross motor play. The program is approved for transportation but does not provide transportation during the school year. When asked about the summer months the facility does not provide summer care at this location. Summer care is offered at another site and transportation is provided at that site for field trips. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed for the month of December. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #608 Children arrived to the cafeteria at 2:50 p.m. Children placed their belongings in their container and sat at a table. Once all children arrived to the program, the staff then proceeding to the bathroom to wash hands at approximately 3:00 p.m. This was ten (10) minutes after arrival before children's hands were washed. Rule Reference: 15A NCAC 18A.2803(c) We discussed having the children use hand sanitizer after putting their belongings away until the children are able to wash hands with soap and water. Item #805 A fire drill was not completed for the month of December. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. Item #840 One (1) bottle of vomit control was observed unlocked on the cement column in the cafeteria. The group leader corrected this during the visit by moving it to the kitchen lock area. Rule Reference: 15A NCAC 18A.2820(b) We discussed conducting a environment check to ensure hazardous products are stored appropriately. Item #1052 The Program Coordinator is required to receive 10 hours of annual training. The PC received 7.6 hours of training. Rule Reference: 10A NCAC 09.1103(a) We discussed developing tracker to assist with tracking when each staff members training is due and setting a reminder on your calendar. Item #1232 The annual evaluation was completed on 3/15/24 for one (1) group leader. The previous annual evaluation was completed on 1/12/23. This is completed after 12 months from the previous evaluation. Rule Reference: 10A NCAC 09 .0514(f) We discussed pre-planning when evaluations will be completed each year to ensure that the staff members evaluation is completed prior to the previous years completion. Item #1811 A shelter-in-place or lockdown drill has not been completed every three months. The last shelter-in-place was completed on 8/31/24. Rule Reference: 10A NCAC 09 .0604(u); .0302(d)(8) We discussed pre-planning each drill on your calendar to help remind you to complete the drill. 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 1/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed with staff appropriate storage of hand sanitizer for school age children. All hand sanitizer should be stored inaccessible to children. We reviewed when children arrive in the cafeteria and put their belongings away to give each child hand sanitizer until the children are able to wash their hands with soap and water. Handwashing for staff was reviewed to refresh staff on the appropriate times to wash hands (ex. after cleaning, upon arrival, after bodily fluids, etc). Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2024 Number Present: 21 Completed Date: 8/28/2024 Age: From 5 To 12 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Program Coordinator. Your program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 8/23/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building Susie Tweed, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual visit was conducted on 1/23/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group with five- to twelve-year-old children arriving in the cafeteria at 2:50p. The children put their belongings away in individually labeled totes. Then transitioning to the tables for free art till time for snack. Group #2 lined up at 3:04p to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria for snack. When snack was over, the group got hand sanitizer and lined up to go outside for gross motor play. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Group #1 at 3:11p lined up to wash hands and prepare for snack. After using the restroom and washing hands, the group transitioned back to the cafeteria. When snack was over, the children got hand sanitizer and transitioned to free play. While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday one (1) turned five on August 26, 2024, and the other turned five on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Typically, a follow-up visit is conducted after observing permit restrictions not followed. However, after speaking with my supervisor a follow-up visit will not be warranted due to both children have already turned five years old. The Five (5) Star Rated license was posted. The last fire drill was practiced on 6/7/2024. We discussed the need to complete a fire drill for the month of August. A fire drill was attempted to be scheduled with the front office. However, the front office was unable to complete the drill using the alarm. A drill will need to completed by August 30, 2024. The last emergency drill, shelter in place drill, was practiced on 5/4/2024. An emergency drill will need to be practiced by August 30, 2024 The last fire inspection was approved on 8/6/2024. The program’s most recent sanitation inspection was completed on 8/19/2024, with eight (8) demerits. Sanitation inspection was received and keyed during the visit. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Currently the program does not have any medications on-site for the children enrolled. The program does not provide transportation. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. Two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. GS 110-91; GS 110-106 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. 10A NCAC 09 .0901(b) Technical Assistance for Correction Plan: Item #107 The center did not comply with the permit restrictions. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. - While monitoring attendance, and ages of children, I observed that two (2) four-year-old children were in attendance from the start of school August 14, 2024, to their birthday. One (1) turned five years old on August 26, 2024, and one (1) turned five years old on August 28, 2024. Prior to the children's birthday the program was out of compliance with permit restrictions. The program will need to decide whether they want to change the age to four to twelve years old or no longer server children until they have turned five years old. A letter will need to be sent to me stating the decision. Item #528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Snack today consisted of tortilla chips, salsa, and juice. Then menu posted documented double chocolate muffin and milk. When asked about the menu, the program coordinator stated that she was shifting the items offered to this week because one (1) day was left blank. She would correct the menu this afternoon. Achieving Compliance: A follow-up visit will not need to be conducted due to the two (2) four year old children have turned five years old as of August 28, 2024. 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 9/11/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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: Today, we discussed the following: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - We discussed that program supervisor will need to submit in writing a statement to request for an age range change or that the program will no longer accept children until they have turned five years old. -Review authorized pick up list with each parent. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 23 Completed Date: 1/22/2024 Age: From 5 To 12 Total Minutes: 115 Time In: 03:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I was greeted by Susie Tweed, Program Coordinator and Deboarh Zbrzezny, Group Leader. Ms. Tweed was on-site and available to assist me 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 program operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 1/12/2024. This school age program, operated by Henderson County Public Schools, is located in a public-school building. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/14/2023. The last lockdown drill was practiced on 11/21/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 8/10/2023. The last sanitation inspection was conducted on 8/31/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 8/28/2023. During the visit, I observed the group with five- to twelve-year-old children were using the restroom, and engaged in free play with boat, legos, free art, and colors and shape game. After free play, the children in group #1 prepared to go outside by putting on their coats. Once outside they engaged in play with the swings and climbing structure. Group #2 continued free play indoors. After free play, group #2 cleaned up and prepared to transition outdoors for gross motor play. Group #1 cleaned up and transitioned indoors from gross motor play. Snack consisted of chex mix and milk. The program has one student that was not present today that has an inhaler prescribed. The inhaler and forms are housed in the student’s classroom and is transferred to the PSPM program on the day’s that the student is in attendance. The staff and training worksheet was received prior to today's visit via email. Two (2) existing staff files were reviewed. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. Hot water in excess to 120 degrees was accessible to children. In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. Technical assistance was provided as follows: Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member ST hired 10/7/1996 and DZ hired 8/25/2005 did not have a current staff evaluation on file for review. I suggest going ahead and planning the day to complete the staff evaluation. Then add the date to your electronic or paper calendar to remind you to complete. Item #9995 Hot water in excess to 120 degrees was accessible to children. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For hand wash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. - In the cafeteria, the kitchen door was left open making the hot water in excess to 120 degrees accessible to the children enrolled. The Program Coordinator closed the kitchen door during the visit. I suggest when you get ready for the day close the kitchen door and lock it to ensure that the children do not have access to the hot water. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff members will need to ensure their WORKS account is up to date and reflects the most current education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Criminal Background Check qualifying letters are coming due for renewal. Staff member ST is due by 9/16/2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or (828) 200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HILLANDALE ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000170 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 20 Completed Date: 8/28/2023 Age: From 5 To 11 Total Minutes: 137 Time In: 02:43 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Susie Tweed, Director. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Susie Tweed, Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License, issued 3/9/2020. The permit restrictions were in compliance including First (1st) shift (daytime care), school age only, meets enhanced space, meets reduced ratios. Playground does not meet NC Child Care Licensing Safety Requirements. Reduced group size by one (1) from the seven (7) point level. The program’s compliance history was ninety-five percent (95%) prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy five (75) percent. Any violation(s) documented may impact the compliance history score. This school age program, operated by Henderson County Public Schools, is located in a public-school building. A walk-through of the licensed indoor and outdoor space was conducted. When I arrived, the children were arriving in the cafeteria, they got hand sanitizer, and put their belongings in individual tubs. After putting their belongings away, the children began working on homework, reading books, and free art. Once everyone arrived, group #1 transitioned to use the restroom and prepare for snack. When group #1 returned to the cafeteria, group #2 transitioned to use the restroom and prepare for snack. After snack, group #2 with children five to seven years old transitioned to use the restroom, wash hands, and prepare for free choice center play. Group #1 with children eight to eleven years old were engaged in eating snack. After snack, group #1 transitioned to use the restroom, wash hands, and prepare to go to free choice center play. During free choice center play, the children engaged in play with doll house, baby dolls, legos, linking tubes, puzzles, and free art. After free choice center play, the children began cleaning up and preparing to transition outdoors for gross motor play. All staff interactions were positive and nurturing. Snack today consisted of cheddar chex mix, and milk. The last fire drill was practiced on 6/3/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 3:27p and concluded at 3:29p. Once the group made it safely to the meeting location, the staff members conducted a head count before returning to the building. The last emergency drill, lockdown drill, was practiced on 3/28/2023. The last fire inspection was approved on 8/10/2023. The program’s most recent sanitation inspection was completed on 4/4/2023, with eight (8) demerits. The Emergency Preparedness and Response plan is current as of 8/25/2022. The Emergency Medical Care Plan is posted and was updated on 9/6/2022. There have been no new staff hired. You stated that the afterschool program and the school system is adding a new climbing structure to the playground space. I asked that you let me know when the new structure is installed. When reviewing the approved license space with the Director it was determined that the computer lab is now a classroom being used by the elementary school. I will updated the space calculation worksheet and submit to the Director via email. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. .0607(f) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/11/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. - Trained staff member ST did not review the EPR plan annually. The last revision date was 8/25/2022. Item #1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member ST and DZ did not have annual documentation showing that the review of the EPR plan. The last staff review date on file was 8/25/2022. Consultation (the following items were reviewed with you today): - We discussed that you are a part of Cohort 2 for rated license reassessments. The programs year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling the Challenging Behaviors Helpline at 1-888-600-1685, option 1. - Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. - Emergency Preparedness and Response plan- I recommend adding to your calendar yearly a date to review, make revisions, and review with staff to help prevent any reoccurring violations. - Emergency Medical Care plan is due to be reviewed, revised, and reviewed by staff annually by 9/6/2023. - Emergency Drill is due to be conducted by 8/31/2023. - Playground inspection is due to be completed by 8/31/2023. - Handwashing- review appropriate hand washing procedures and when to wash hands with children and staff members. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times