G.S. 110-90 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:45 AM Time Out: 12:35 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 your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on October 23, 2024. Your facility's compliance history score prior to today's visit was 91%. You, Kris Parker, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 57 children on first shift, ages 2-12 with an effective date January 31, 2020. The following restrictions are listed: daytime care only, meets enhanced space, and meets highest enhanced ratio. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice and teacher-led activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. You stated that no children currently enrolled have medications or Medical Action Plans. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 25, 2025, with ten (10) demerits and a superior classification. A fire inspection was conducted on July 25, 2025. One new staff member has been hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 21 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, parent family engagement activities, take home projects, and Ready Rosie. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 7:30 to 4:00. The following violation was observed during today’s visit. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Division was not notified of two new employees (DOH: 7/28/2025 and 6/25/2024) within five business days. G.S. 110-90.2 & .2703(r) Technical Assistance: • The Division must be notified within five days when new employees have been hired by your facility. The process of notifying the Division changed in February 2024 and is now captured in ABCMS. Today we reviewed the ABCMS Provider Portal. Ms. Dearmon stated that adding staff members to this portal has been added to the new hire process and she will be adding staff members previously hired. Consultation: • On July 1, 2025, the North Carolina Rules Review Commission (RRC) approved the new child care rule language for the QRIS Modernization Plan, known as “Pathways to the Stars”. The Division of Child Development and Early Education is currently preparing a summary of the rules, an online training module for Moodle, and an implementation plan. I will be conducting a center administrator training/meeting on September 29, 2025, from 1:00 pm – 3:00 pm as the next step for implementing the plan to transition to the “Pathways to the Stars”. The implementation plan will allow time for administrators to learn and understand the different pathways and the changes within our system. Please be reminded that any ERS assessment completed on or after February 1, 2025, will be assessed using the ERS-3 versions. We encourage you to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more now. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 10/9/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 19 Completed Date: 4/25/2025 Age: From 3 To 5 Total Minutes: 100 Time In: 12:00 PM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on October 23, 2024. Your facility’s compliance history score prior to today’s visit was 96%. You, Shara Dearmon, Director of Center Operations, assisted me with the visit. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children transitioning from lunch to rest time and during rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 25, 2025 with ten (10) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC trainings were monitored in staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipping paint on the exterior doors of Space 2 and Space 3 leading inside from the playground. 15A NCAC 18A .2825(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, permission to administer an Albuterol inhaler was given on 9/4/2024 and expired on 3/4/2025. In Space 2, permission to administer an Albuterol inhaler was given on 12/10/2024 and expired on 2/19/2025. These medications were not returned to the parent after authorization had expired. .0803(12) Technical Assistance: • Today we discussed that written permission to administer medication for chronic medical conditions or allergies can be given for up to 6 months. Medication Administration Permission Forms need to be updated, or the medication needs to be returned to the parent after authorization has expired. I suggest that teachers place a reminder on their calendar and the Center Manger conduct a monthly check of all medications to ensure compliance. • When conducting monthly playground inspections, ensure that exterior doors that children have access to are included in the inspection. Have teachers alert the Center Manager immediately of any chipping paint to allow a work order to be placed in a timely manner. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. You still need to complete enrollment for Lead-Based Paint and Asbestos. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 5/9/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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.

G.S. 110-90 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 4/25/2025 Number Present: 19 Completed Date: 4/25/2025 Age: From 3 To 5 Total Minutes: 100 Time In: 12:00 PM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on October 23, 2024. Your facility’s compliance history score prior to today’s visit was 96%. You, Shara Dearmon, Director of Center Operations, assisted me with the visit. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children transitioning from lunch to rest time and during rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 25, 2025 with ten (10) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC trainings were monitored in staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. There is chipping paint on the exterior doors of Space 2 and Space 3 leading inside from the playground. 15A NCAC 18A .2825(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 2, permission to administer an Albuterol inhaler was given on 9/4/2024 and expired on 3/4/2025. In Space 2, permission to administer an Albuterol inhaler was given on 12/10/2024 and expired on 2/19/2025. These medications were not returned to the parent after authorization had expired. .0803(12) Technical Assistance: • Today we discussed that written permission to administer medication for chronic medical conditions or allergies can be given for up to 6 months. Medication Administration Permission Forms need to be updated, or the medication needs to be returned to the parent after authorization has expired. I suggest that teachers place a reminder on their calendar and the Center Manger conduct a monthly check of all medications to ensure compliance. • When conducting monthly playground inspections, ensure that exterior doors that children have access to are included in the inspection. Have teachers alert the Center Manager immediately of any chipping paint to allow a work order to be placed in a timely manner. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. You still need to complete enrollment for Lead-Based Paint and Asbestos. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 5/9/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1101 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 11, 2023. Your facility's compliance history score prior to today's visit was 98%. You, Shakema James, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 57 children on first shift, ages 2-12 with an effective date January 31, 2020. The following restrictions are listed: daytime care only, meets enhanced space, and meets highest enhanced ratio. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice and teacher-led activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 21, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. One new staff member has been hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 21 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent family engagement activities, and Ready Rosie. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 8:00 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 2 and Space 3, screen time was not documented on the cumulative log. .0510(d)(2)(A-C) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. 16 hours of orientation within the first six weeks of employment was not documented for a staff member hired on 6/25/2024. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam or health assessment record was not on file for a child enrolled on 9/11/2024. GS110-91(1) Technical Assistance: • Per child care rule 10A NCAC 09 .2508(e), when screen time is provided on any electronic device with a visual display, it should be documented on a cumulative log or activity plan and be made available for review by a representative of the Division. We discussed having the cumulative log near the electronic device to remind staff to complete the log when screen time is offered to children. • Per child care rule 10A NCAC 09 .1101(a), new staff who have contact with children must receive at least 16 hours of orientation within the first 6 weeks and this training must be recorded on the New Staff Orientation training record. You stated today that the staff member was transferred from another Head Start location. I suggested that you complete a full file review of new staff members files when they are transferred to your location. • Per NC General Statute 110-91(1), each child should have a children’s medical report on file no later than 30 days after enrollment. You stated that you sent a letter home with the family to remind them that their child’s medical report was due. I suggested that you speak with the family at drop off and pick up to ensure they are aware that the medical report must be on file. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • The North Carolina Child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/6/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2508 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 11, 2023. Your facility's compliance history score prior to today's visit was 98%. You, Shakema James, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 57 children on first shift, ages 2-12 with an effective date January 31, 2020. The following restrictions are listed: daytime care only, meets enhanced space, and meets highest enhanced ratio. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice and teacher-led activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 21, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. One new staff member has been hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 21 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent family engagement activities, and Ready Rosie. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 8:00 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 2 and Space 3, screen time was not documented on the cumulative log. .0510(d)(2)(A-C) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. 16 hours of orientation within the first six weeks of employment was not documented for a staff member hired on 6/25/2024. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam or health assessment record was not on file for a child enrolled on 9/11/2024. GS110-91(1) Technical Assistance: • Per child care rule 10A NCAC 09 .2508(e), when screen time is provided on any electronic device with a visual display, it should be documented on a cumulative log or activity plan and be made available for review by a representative of the Division. We discussed having the cumulative log near the electronic device to remind staff to complete the log when screen time is offered to children. • Per child care rule 10A NCAC 09 .1101(a), new staff who have contact with children must receive at least 16 hours of orientation within the first 6 weeks and this training must be recorded on the New Staff Orientation training record. You stated today that the staff member was transferred from another Head Start location. I suggested that you complete a full file review of new staff members files when they are transferred to your location. • Per NC General Statute 110-91(1), each child should have a children’s medical report on file no later than 30 days after enrollment. You stated that you sent a letter home with the family to remind them that their child’s medical report was due. I suggested that you speak with the family at drop off and pick up to ensure they are aware that the medical report must be on file. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • The North Carolina Child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/6/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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

GS110-91 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 11, 2023. Your facility's compliance history score prior to today's visit was 98%. You, Shakema James, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 57 children on first shift, ages 2-12 with an effective date January 31, 2020. The following restrictions are listed: daytime care only, meets enhanced space, and meets highest enhanced ratio. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice and teacher-led activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 21, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. One new staff member has been hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 21 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent family engagement activities, and Ready Rosie. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 8:00 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 2 and Space 3, screen time was not documented on the cumulative log. .0510(d)(2)(A-C) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. 16 hours of orientation within the first six weeks of employment was not documented for a staff member hired on 6/25/2024. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam or health assessment record was not on file for a child enrolled on 9/11/2024. GS110-91(1) Technical Assistance: • Per child care rule 10A NCAC 09 .2508(e), when screen time is provided on any electronic device with a visual display, it should be documented on a cumulative log or activity plan and be made available for review by a representative of the Division. We discussed having the cumulative log near the electronic device to remind staff to complete the log when screen time is offered to children. • Per child care rule 10A NCAC 09 .1101(a), new staff who have contact with children must receive at least 16 hours of orientation within the first 6 weeks and this training must be recorded on the New Staff Orientation training record. You stated today that the staff member was transferred from another Head Start location. I suggested that you complete a full file review of new staff members files when they are transferred to your location. • Per NC General Statute 110-91(1), each child should have a children’s medical report on file no later than 30 days after enrollment. You stated that you sent a letter home with the family to remind them that their child’s medical report was due. I suggested that you speak with the family at drop off and pick up to ensure they are aware that the medical report must be on file. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • The North Carolina Child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/6/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 14 Completed Date: 10/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 11, 2023. Your facility's compliance history score prior to today's visit was 98%. You, Shakema James, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 57 children on first shift, ages 2-12 with an effective date January 31, 2020. The following restrictions are listed: daytime care only, meets enhanced space, and meets highest enhanced ratio. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedule, activity plan, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice and teacher-led activities indoors. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 21, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on July 15, 2024. One new staff member has been hired since the last visit. I monitored their file and a portion of existing staff files during today’s visit. There are 21 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent family engagement activities, and Ready Rosie. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 8:00 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 2 and Space 3, screen time was not documented on the cumulative log. .0510(d)(2)(A-C) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. 16 hours of orientation within the first six weeks of employment was not documented for a staff member hired on 6/25/2024. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam or health assessment record was not on file for a child enrolled on 9/11/2024. GS110-91(1) Technical Assistance: • Per child care rule 10A NCAC 09 .2508(e), when screen time is provided on any electronic device with a visual display, it should be documented on a cumulative log or activity plan and be made available for review by a representative of the Division. We discussed having the cumulative log near the electronic device to remind staff to complete the log when screen time is offered to children. • Per child care rule 10A NCAC 09 .1101(a), new staff who have contact with children must receive at least 16 hours of orientation within the first 6 weeks and this training must be recorded on the New Staff Orientation training record. You stated today that the staff member was transferred from another Head Start location. I suggested that you complete a full file review of new staff members files when they are transferred to your location. • Per NC General Statute 110-91(1), each child should have a children’s medical report on file no later than 30 days after enrollment. You stated that you sent a letter home with the family to remind them that their child’s medical report was due. I suggested that you speak with the family at drop off and pick up to ensure they are aware that the medical report must be on file. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • The North Carolina Child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/6/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .2200 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 12/11/2023 Number Present: 10 Completed Date: 12/11/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last annual compliance visit was conducted on January 24, 2023. The Environment Rating Scales (ERS) assessments were last conducted in April 2019. This program is part of cohort two which means that it will go through the rated license process and assessment between July 1, 2025 and June 30, 2026. The 18-month compliance history was 95% prior to the visit. The license was posted and the following restrictions were listed: daytime care only; meets highest enhanced ratios and enhanced space. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC.is active and current. Upon arrival, I was greeted by Patricia Jackson, dietician, and she contacted you, Shara Dearmon, Interim Site Manager. You arrived shortly after the phone call and stated that the previous manager no longer is working at this facility as of October 1, 2023. There is one classroom open at this facility and it is part of the NC Pre-K Program. There are 15 children enrolled and 10 were present today. I observed the children during free choice activities indoors, hand washing routines, lunch and nap time. I observed child to staff ratio, group size and supervision in compliance. I observed positive interactions between children, staff and families. You stated that this program does not provide transportation at this time. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. A sanitation inspection was conducted on October 25, 2023 with two demerits and a superior classification. A fire inspection was conducted on June 2, 2023. I monitored a portion of the children’s records. The health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were in the children’s files monitored. I completed the Staff and Training Worksheet during today’s visit. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff listed in the report were the staff I observed in the classroom. Creative Curriculum for Preschool is used in the classroom. DIAL-4 is the screening tool used and Teaching Strategies Gold is the ongoing assessment tool used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent committee meetings, school readiness and health advisory meetings. Recently a “Paint with Dad” activity took place. The NC Pre-K Program hours for the children are 8:00 to 3:00 and the staffs' hours are 7:30-4:00. The following violation was observed during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The Interim Director's file was not on site during my visit. G.S. 110-91( 9) ASSISTANCE: -We discussed making sure to have travel file for staff that may assist at other sites or scan the documents in the file and keep electronically. CONSULTATION/RESOURCES: -The summary of the law has been updated. It can be found on the DCDEE website under “Provider Documents”. Make sure to have the current one posted and that all new families are receiving the current summary of the law. -Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by December 13, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed today’s visit summary to you for your records. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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.

G.S. 110-91 · Violation

Name of Operation: EAST SPENCER HEAD START Facility ID: 80000190 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 12/11/2023 Number Present: 10 Completed Date: 12/11/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last annual compliance visit was conducted on January 24, 2023. The Environment Rating Scales (ERS) assessments were last conducted in April 2019. This program is part of cohort two which means that it will go through the rated license process and assessment between July 1, 2025 and June 30, 2026. The 18-month compliance history was 95% prior to the visit. The license was posted and the following restrictions were listed: daytime care only; meets highest enhanced ratios and enhanced space. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC.is active and current. Upon arrival, I was greeted by Patricia Jackson, dietician, and she contacted you, Shara Dearmon, Interim Site Manager. You arrived shortly after the phone call and stated that the previous manager no longer is working at this facility as of October 1, 2023. There is one classroom open at this facility and it is part of the NC Pre-K Program. There are 15 children enrolled and 10 were present today. I observed the children during free choice activities indoors, hand washing routines, lunch and nap time. I observed child to staff ratio, group size and supervision in compliance. I observed positive interactions between children, staff and families. You stated that this program does not provide transportation at this time. I used the "Annual Compliance Monitoring Checklist for Centers" during today's visit. I monitored the outdoor play area and the outdoor inspections. I monitored the emergency drill report to assure that drills were occurring as required. A sanitation inspection was conducted on October 25, 2023 with two demerits and a superior classification. A fire inspection was conducted on June 2, 2023. I monitored a portion of the children’s records. The health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were in the children’s files monitored. I completed the Staff and Training Worksheet during today’s visit. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. The staff listed in the report were the staff I observed in the classroom. Creative Curriculum for Preschool is used in the classroom. DIAL-4 is the screening tool used and Teaching Strategies Gold is the ongoing assessment tool used. Parent involvement activities include home visits, parent/teacher conferences, monthly parent committee meetings, school readiness and health advisory meetings. Recently a “Paint with Dad” activity took place. The NC Pre-K Program hours for the children are 8:00 to 3:00 and the staffs' hours are 7:30-4:00. The following violation was observed during today’s visit. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. The Interim Director's file was not on site during my visit. G.S. 110-91( 9) ASSISTANCE: -We discussed making sure to have travel file for staff that may assist at other sites or scan the documents in the file and keep electronically. CONSULTATION/RESOURCES: -The summary of the law has been updated. It can be found on the DCDEE website under “Provider Documents”. Make sure to have the current one posted and that all new families are receiving the current summary of the law. -Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by December 13, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I emailed today’s visit summary to you for your records. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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