EIC Pasquotank/Camden Head Start Center

G.S. 110-90 · Violation

Name of Operation: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 47 Completed Date: 3/12/2025 Age: From 3 To 5 Total Minutes: 355 Time In: 09:35 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. G. Chesson, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/5/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of teachers have an AAS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. You are currently using the Creative Curriculum 4th Edition. The last annual compliance visit was conducted 9/4/24. The sanitation inspection was completed 10/1/24. with a “Superior” classification. The last fire inspection was conducted 9/4/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 3/10/25. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children played outside on the fenced playground. Hands were washed as required. Lunch was observed and consisted of chicken nuggets, string cheese, coleslaw, mandarin oranges, whole wheat toast, and milk. After lunch, the children rested on line covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC Plan was posted; however, the individuals listed as responsible were past employees. The people identified to make decisions were only identified as “teacher”. .0802(a)(1)(A-B); 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 3, a container of EPI pens for DM expired on 2/2025 and had not been returned to the parent. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One provider, hired on 9/5/23, did not have documentation on file that their health information had been updated since 9/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One provider, hired on 9/5/23, did not have documentation on file that their emergency information had been updated since 9/5/23. .0701(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include a Medical Action Plan for two (2) children. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 1, EH had a Medical Action Plan that expired on 2/20/25. .0801(b) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 3/26/25, 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 that any information submitted by you is considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medications - Administering medication requires skill, knowledge and careful attention to detail. The medications, permission forms, and action plans at your facility must be reviewed regularly to ensure they have not expired. Administering a medication that has expired could cause harm to a child. In space 3, a container of EPI pens for DM expired on 2/2025 and had not been returned to the parent. The provider stated that new medication had been requested when they updated the Permission to Administer Medication form, but the parent had not yet brought the medication to the facility. When medication has expired, it must be returned to the parent within 72 hours or discarded. In space 1, EH had a Medical Action Plan that expired on 2/20/25. Per our discussion, consider setting up a schedule to review all medications. All medications brought into the facility must be checked to ensure the paperwork is current, accurate, and complete. We also discussed the need to cross check that the medication, the pharmacy box, and all paperwork match to ensure that the right medication is being administered to the right child. As part of your compliance verification, you must create a plan for tracking this information in your facility. The plan should include a tracking tool, how often the information is reviewed, and who is responsible for the reviews. Ready to Go File – A Ready to Go file ensures that you have all the information you need to provide a safe environment for children in the event of an emergency. The Ready to Go File did not include a Medical Action Plan for two (2) children. Per our discussion, a copy of the Medical Action Plan helps to ensure that, in the event of an emergency, you have all the information needed to safely administer medication to the child. You must review all the children’s information to ensure that every child who has a Medical Action Plan has a copy included with their application in the Ready to Go File. A copy of the Permission to Administer Medication should also be included. Emergency Medical Care Plan (EMC) - Emergency situations can occur quickly and without warning. Having a plan in place and ensuring that all staff know what to do is your best protection. Your EMC Plan was posted; however, the individuals listed as responsible were past employees. The people identified to make decisions were only identified as “teacher”. The name of the person and his/her alternative at the center must be listed on the EMC Plan to identify who is responsible for determining what action is required, carrying out that plan of action, and assuring that appropriate medical care is given. This person should hold a current CPR and first aid certification. By clearly identifying these people, the staff will know exactly who they need to contact in the event of an emergency and there will be no confusion. At least one of the people listed must be on site at all times. You stated that the form was completed before you were hired but that you would correct the information immediately. Remember to update the form as changes occur and to review it with staff whenever changes are made or at least annually. Emergency Information and Health Questionnaire – It is important to have current information on file for each of your staff members. The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One provider, hired on 9/5/23, did not have documentation on file that their emergency or health information had been updated since 9/5/23. The provider reviewed and updated the information during the visit. As you review and update your Staff and Training Worksheet, make sure all annual reviews have been completed. Additional Information: NCID Password Change – In the Raise NC email blast sent out on 2/21/25, announced changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from 8 to 14 characters. The change will apply to all providers. NCID passwords must be updated on a regular basis to keep them active. The next time you update your current password; you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Strong, unique passwords, along with practicing mindful cybersecurity practices, are key components to the Division protecting your devices and personal information Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. ABCMS New Process - 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. 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. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. Testing is required by May 2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the information in the Clean Classrooms for Carolina Kids: Water Testing: 4/7/24 Completed Lead Paint: No hazards identified Asbestos: No hazards identified At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 3/12/2025 Number Present: 47 Completed Date: 3/12/2025 Age: From 3 To 5 Total Minutes: 355 Time In: 09:35 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. G. Chesson, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/5/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of teachers have an AAS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. North Carolina Rated License Assessment Project - NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. They collaborate with professionals in the early childhood education field to foster the development and learning of young children. Their website, ncrlap.org, offers resources, trainings, videos, worksheets, and help to get ready for the new ITERS-3, ECERS-3, and FCCRS-3 assessment tools that will be used in the new QRIS system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. You are currently using the Creative Curriculum 4th Edition. The last annual compliance visit was conducted 9/4/24. The sanitation inspection was completed 10/1/24. with a “Superior” classification. The last fire inspection was conducted 9/4/24. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 3/10/25. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children played outside on the fenced playground. Hands were washed as required. Lunch was observed and consisted of chicken nuggets, string cheese, coleslaw, mandarin oranges, whole wheat toast, and milk. After lunch, the children rested on line covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC Plan was posted; however, the individuals listed as responsible were past employees. The people identified to make decisions were only identified as “teacher”. .0802(a)(1)(A-B); 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 3, a container of EPI pens for DM expired on 2/2025 and had not been returned to the parent. .0803(12) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One provider, hired on 9/5/23, did not have documentation on file that their health information had been updated since 9/5/23. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One provider, hired on 9/5/23, did not have documentation on file that their emergency information had been updated since 9/5/23. .0701(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not include a Medical Action Plan for two (2) children. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 1, EH had a Medical Action Plan that expired on 2/20/25. .0801(b) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 3/26/25, 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 that any information submitted by you is considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medications - Administering medication requires skill, knowledge and careful attention to detail. The medications, permission forms, and action plans at your facility must be reviewed regularly to ensure they have not expired. Administering a medication that has expired could cause harm to a child. In space 3, a container of EPI pens for DM expired on 2/2025 and had not been returned to the parent. The provider stated that new medication had been requested when they updated the Permission to Administer Medication form, but the parent had not yet brought the medication to the facility. When medication has expired, it must be returned to the parent within 72 hours or discarded. In space 1, EH had a Medical Action Plan that expired on 2/20/25. Per our discussion, consider setting up a schedule to review all medications. All medications brought into the facility must be checked to ensure the paperwork is current, accurate, and complete. We also discussed the need to cross check that the medication, the pharmacy box, and all paperwork match to ensure that the right medication is being administered to the right child. As part of your compliance verification, you must create a plan for tracking this information in your facility. The plan should include a tracking tool, how often the information is reviewed, and who is responsible for the reviews. Ready to Go File – A Ready to Go file ensures that you have all the information you need to provide a safe environment for children in the event of an emergency. The Ready to Go File did not include a Medical Action Plan for two (2) children. Per our discussion, a copy of the Medical Action Plan helps to ensure that, in the event of an emergency, you have all the information needed to safely administer medication to the child. You must review all the children’s information to ensure that every child who has a Medical Action Plan has a copy included with their application in the Ready to Go File. A copy of the Permission to Administer Medication should also be included. Emergency Medical Care Plan (EMC) - Emergency situations can occur quickly and without warning. Having a plan in place and ensuring that all staff know what to do is your best protection. Your EMC Plan was posted; however, the individuals listed as responsible were past employees. The people identified to make decisions were only identified as “teacher”. The name of the person and his/her alternative at the center must be listed on the EMC Plan to identify who is responsible for determining what action is required, carrying out that plan of action, and assuring that appropriate medical care is given. This person should hold a current CPR and first aid certification. By clearly identifying these people, the staff will know exactly who they need to contact in the event of an emergency and there will be no confusion. At least one of the people listed must be on site at all times. You stated that the form was completed before you were hired but that you would correct the information immediately. Remember to update the form as changes occur and to review it with staff whenever changes are made or at least annually. Emergency Information and Health Questionnaire – It is important to have current information on file for each of your staff members. The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. One provider, hired on 9/5/23, did not have documentation on file that their emergency or health information had been updated since 9/5/23. The provider reviewed and updated the information during the visit. As you review and update your Staff and Training Worksheet, make sure all annual reviews have been completed. Additional Information: NCID Password Change – In the Raise NC email blast sent out on 2/21/25, announced changes to the password rules. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from 8 to 14 characters. The change will apply to all providers. NCID passwords must be updated on a regular basis to keep them active. The next time you update your current password; you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). Strong, unique passwords, along with practicing mindful cybersecurity practices, are key components to the Division protecting your devices and personal information Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources/. ABCMS New Process - 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. 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. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test lead in drinking water, lead paint, and asbestos. Testing is required by May 2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the information in the Clean Classrooms for Carolina Kids: Water Testing: 4/7/24 Completed Lead Paint: No hazards identified Asbestos: No hazards identified At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 47 Completed Date: 9/4/2024 Age: From 3 To 4 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. D. Banks, Head Start Director, and C. Jones, Temporary Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of lead teachers have a BA/BS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 9/13/24. The sanitation inspection was completed 9/21/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% as of 9/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. After washing hands and toileting, the children in space 1 gathered on the carpet and danced to music. The staff danced with them. Later, the children transitioned to play outside. There continues to be a fenced playground located behind the building. New plastic hoops had been added to the selection of materials. The children rolled them on the ground and chased them. Lunch was observed and consisted of chicken salad, crackers, steamed carrots, tropical fruit, and milk. The staff sat with the children and ate lunch with them. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by the Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed at the center on 8/25/23 and a current approved inspection had not yet been completed. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. One staff record was not on site and available for review. G.S. 110-91( 9) 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 ABCMS portal showed that eight of the providers had not completed the process. G.S. 110-90.2 & .2703(r) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 9/18/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 8/25/23. Per your statements, an inspection was completed on 8/22/24, but there were items that needed to be addressed concerning the front door and the storage of items in the kitchen. You stated that the items had been fixed but the inspector had not yet returned. You contacted the inspector during the visit. The inspector came out to complete the inspection but there were still concerns about the deadbolt lock on the front door. This was corrected during the visit but an approved inspection had not yet been received. Completing fire inspections each year ensures that the building is safe for use by the children. When an inspection is completed but an approved inspection is not issued, all items must be brought into compliance immediately. You must set up a tracking plan to ensure all required inspections are completed on time and submit the plan along with your compliance letter. Staff Files - Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. A file was not on site and available for review for the temporary administrator. Per our discussion, as staff are moved to cover vacancies, they must have a complete file on site to verify that they do have not criminal record and are healthy and qualified to work with the children. Criminal Background Change of Information – All staff are required to register their current place of employment on the Automated Background Check Management System (ABCMS) portal within five (5) days of employment. The ABCMS portal showed that eight of the providers had not completed the process. Beginning February 1, child care administrators can now access the ABCMS. This access will allow 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. I encourage you to complete the training to be better able to assist your staff in meeting this requirement. All staff must connect their CBC with your license number and the date this was completed must be documented on your Staff and Training Worksheet. Storage of Hazardous Items - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Any product that includes more than one warning must be in locked storage and any product that states “keep out of reach of children” must be stored 5 feet above the floor. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. These items are required to be kept in locked storage. The provider moved them to a locked storage closet during the visit. You were encouraged to do random checks of the classrooms to ensure they are consistently in compliance with requirements for the storage of hazardous items. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the play. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. Your facility completes regular playground inspections. Review with staff the importance of looking carefully at all the materials, surfacing, and stationary equipment to ensure that it is in good repair and ready for use by the children. Reminders: Sanitation Inspection: Your sanitation inspection expires on 9/21/24. You must contact Environmental Health to request an inspection to ensure one is completed before the expiration date. Emergency Preparedness and Response Plan – Your EPR plan was last reviewed on 9/7/23. A review must be completed in the Risk Management System before 9/7/24. Once the review is completed, the plan must be reviewed with all staff. Documentation of the review, signed and dated by the providers, must be on file and available for review. Place the documentation in the binder with the EPR plan to make it easy to review. Make sure this information is also shared with anyone who helps cover vacancies in your facility during the course of the academic year. This ensures that everyone is ready to respond quickly and safely in the event of an emergency. Orientation of New Staff – Taking time to fully train new staff helps to ensure they feel comfortable taking on their new role in your program. Each facility does things differently and has different expectations. All information shared during orientation should be specific to your program. Staff must have a working knowledge of how your facility handles emergency situations, behavior issues, and other important topics included as part of the mandatory orientation process. Use of on-line trainings can be helpful in understanding the NC Child Care Rules, but they are not designed to be used as a substitute for facility specific training. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have completed all of the required testing. Documentation of completion of these inspections must be on file and available for review during monitoring visits. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 47 Completed Date: 9/4/2024 Age: From 3 To 4 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. D. Banks, Head Start Director, and C. Jones, Temporary Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of lead teachers have a BA/BS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 9/13/24. The sanitation inspection was completed 9/21/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% as of 9/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. After washing hands and toileting, the children in space 1 gathered on the carpet and danced to music. The staff danced with them. Later, the children transitioned to play outside. There continues to be a fenced playground located behind the building. New plastic hoops had been added to the selection of materials. The children rolled them on the ground and chased them. Lunch was observed and consisted of chicken salad, crackers, steamed carrots, tropical fruit, and milk. The staff sat with the children and ate lunch with them. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by the Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed at the center on 8/25/23 and a current approved inspection had not yet been completed. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. One staff record was not on site and available for review. G.S. 110-91( 9) 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 ABCMS portal showed that eight of the providers had not completed the process. G.S. 110-90.2 & .2703(r) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 9/18/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 8/25/23. Per your statements, an inspection was completed on 8/22/24, but there were items that needed to be addressed concerning the front door and the storage of items in the kitchen. You stated that the items had been fixed but the inspector had not yet returned. You contacted the inspector during the visit. The inspector came out to complete the inspection but there were still concerns about the deadbolt lock on the front door. This was corrected during the visit but an approved inspection had not yet been received. Completing fire inspections each year ensures that the building is safe for use by the children. When an inspection is completed but an approved inspection is not issued, all items must be brought into compliance immediately. You must set up a tracking plan to ensure all required inspections are completed on time and submit the plan along with your compliance letter. Staff Files - Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. A file was not on site and available for review for the temporary administrator. Per our discussion, as staff are moved to cover vacancies, they must have a complete file on site to verify that they do have not criminal record and are healthy and qualified to work with the children. Criminal Background Change of Information – All staff are required to register their current place of employment on the Automated Background Check Management System (ABCMS) portal within five (5) days of employment. The ABCMS portal showed that eight of the providers had not completed the process. Beginning February 1, child care administrators can now access the ABCMS. This access will allow 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. I encourage you to complete the training to be better able to assist your staff in meeting this requirement. All staff must connect their CBC with your license number and the date this was completed must be documented on your Staff and Training Worksheet. Storage of Hazardous Items - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Any product that includes more than one warning must be in locked storage and any product that states “keep out of reach of children” must be stored 5 feet above the floor. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. These items are required to be kept in locked storage. The provider moved them to a locked storage closet during the visit. You were encouraged to do random checks of the classrooms to ensure they are consistently in compliance with requirements for the storage of hazardous items. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the play. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. Your facility completes regular playground inspections. Review with staff the importance of looking carefully at all the materials, surfacing, and stationary equipment to ensure that it is in good repair and ready for use by the children. Reminders: Sanitation Inspection: Your sanitation inspection expires on 9/21/24. You must contact Environmental Health to request an inspection to ensure one is completed before the expiration date. Emergency Preparedness and Response Plan – Your EPR plan was last reviewed on 9/7/23. A review must be completed in the Risk Management System before 9/7/24. Once the review is completed, the plan must be reviewed with all staff. Documentation of the review, signed and dated by the providers, must be on file and available for review. Place the documentation in the binder with the EPR plan to make it easy to review. Make sure this information is also shared with anyone who helps cover vacancies in your facility during the course of the academic year. This ensures that everyone is ready to respond quickly and safely in the event of an emergency. Orientation of New Staff – Taking time to fully train new staff helps to ensure they feel comfortable taking on their new role in your program. Each facility does things differently and has different expectations. All information shared during orientation should be specific to your program. Staff must have a working knowledge of how your facility handles emergency situations, behavior issues, and other important topics included as part of the mandatory orientation process. Use of on-line trainings can be helpful in understanding the NC Child Care Rules, but they are not designed to be used as a substitute for facility specific training. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have completed all of the required testing. Documentation of completion of these inspections must be on file and available for review during monitoring visits. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 47 Completed Date: 9/4/2024 Age: From 3 To 4 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. D. Banks, Head Start Director, and C. Jones, Temporary Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of lead teachers have a BA/BS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 9/13/24. The sanitation inspection was completed 9/21/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% as of 9/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. After washing hands and toileting, the children in space 1 gathered on the carpet and danced to music. The staff danced with them. Later, the children transitioned to play outside. There continues to be a fenced playground located behind the building. New plastic hoops had been added to the selection of materials. The children rolled them on the ground and chased them. Lunch was observed and consisted of chicken salad, crackers, steamed carrots, tropical fruit, and milk. The staff sat with the children and ate lunch with them. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by the Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed at the center on 8/25/23 and a current approved inspection had not yet been completed. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. One staff record was not on site and available for review. G.S. 110-91( 9) 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 ABCMS portal showed that eight of the providers had not completed the process. G.S. 110-90.2 & .2703(r) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 9/18/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 8/25/23. Per your statements, an inspection was completed on 8/22/24, but there were items that needed to be addressed concerning the front door and the storage of items in the kitchen. You stated that the items had been fixed but the inspector had not yet returned. You contacted the inspector during the visit. The inspector came out to complete the inspection but there were still concerns about the deadbolt lock on the front door. This was corrected during the visit but an approved inspection had not yet been received. Completing fire inspections each year ensures that the building is safe for use by the children. When an inspection is completed but an approved inspection is not issued, all items must be brought into compliance immediately. You must set up a tracking plan to ensure all required inspections are completed on time and submit the plan along with your compliance letter. Staff Files - Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. A file was not on site and available for review for the temporary administrator. Per our discussion, as staff are moved to cover vacancies, they must have a complete file on site to verify that they do have not criminal record and are healthy and qualified to work with the children. Criminal Background Change of Information – All staff are required to register their current place of employment on the Automated Background Check Management System (ABCMS) portal within five (5) days of employment. The ABCMS portal showed that eight of the providers had not completed the process. Beginning February 1, child care administrators can now access the ABCMS. This access will allow 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. I encourage you to complete the training to be better able to assist your staff in meeting this requirement. All staff must connect their CBC with your license number and the date this was completed must be documented on your Staff and Training Worksheet. Storage of Hazardous Items - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Any product that includes more than one warning must be in locked storage and any product that states “keep out of reach of children” must be stored 5 feet above the floor. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. These items are required to be kept in locked storage. The provider moved them to a locked storage closet during the visit. You were encouraged to do random checks of the classrooms to ensure they are consistently in compliance with requirements for the storage of hazardous items. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the play. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. Your facility completes regular playground inspections. Review with staff the importance of looking carefully at all the materials, surfacing, and stationary equipment to ensure that it is in good repair and ready for use by the children. Reminders: Sanitation Inspection: Your sanitation inspection expires on 9/21/24. You must contact Environmental Health to request an inspection to ensure one is completed before the expiration date. Emergency Preparedness and Response Plan – Your EPR plan was last reviewed on 9/7/23. A review must be completed in the Risk Management System before 9/7/24. Once the review is completed, the plan must be reviewed with all staff. Documentation of the review, signed and dated by the providers, must be on file and available for review. Place the documentation in the binder with the EPR plan to make it easy to review. Make sure this information is also shared with anyone who helps cover vacancies in your facility during the course of the academic year. This ensures that everyone is ready to respond quickly and safely in the event of an emergency. Orientation of New Staff – Taking time to fully train new staff helps to ensure they feel comfortable taking on their new role in your program. Each facility does things differently and has different expectations. All information shared during orientation should be specific to your program. Staff must have a working knowledge of how your facility handles emergency situations, behavior issues, and other important topics included as part of the mandatory orientation process. Use of on-line trainings can be helpful in understanding the NC Child Care Rules, but they are not designed to be used as a substitute for facility specific training. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have completed all of the required testing. Documentation of completion of these inspections must be on file and available for review during monitoring visits. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 47 Completed Date: 9/4/2024 Age: From 3 To 4 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. D. Banks, Head Start Director, and C. Jones, Temporary Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of lead teachers have a BA/BS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 9/13/24. The sanitation inspection was completed 9/21/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% as of 9/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. After washing hands and toileting, the children in space 1 gathered on the carpet and danced to music. The staff danced with them. Later, the children transitioned to play outside. There continues to be a fenced playground located behind the building. New plastic hoops had been added to the selection of materials. The children rolled them on the ground and chased them. Lunch was observed and consisted of chicken salad, crackers, steamed carrots, tropical fruit, and milk. The staff sat with the children and ate lunch with them. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by the Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed at the center on 8/25/23 and a current approved inspection had not yet been completed. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. One staff record was not on site and available for review. G.S. 110-91( 9) 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 ABCMS portal showed that eight of the providers had not completed the process. G.S. 110-90.2 & .2703(r) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 9/18/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 8/25/23. Per your statements, an inspection was completed on 8/22/24, but there were items that needed to be addressed concerning the front door and the storage of items in the kitchen. You stated that the items had been fixed but the inspector had not yet returned. You contacted the inspector during the visit. The inspector came out to complete the inspection but there were still concerns about the deadbolt lock on the front door. This was corrected during the visit but an approved inspection had not yet been received. Completing fire inspections each year ensures that the building is safe for use by the children. When an inspection is completed but an approved inspection is not issued, all items must be brought into compliance immediately. You must set up a tracking plan to ensure all required inspections are completed on time and submit the plan along with your compliance letter. Staff Files - Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. A file was not on site and available for review for the temporary administrator. Per our discussion, as staff are moved to cover vacancies, they must have a complete file on site to verify that they do have not criminal record and are healthy and qualified to work with the children. Criminal Background Change of Information – All staff are required to register their current place of employment on the Automated Background Check Management System (ABCMS) portal within five (5) days of employment. The ABCMS portal showed that eight of the providers had not completed the process. Beginning February 1, child care administrators can now access the ABCMS. This access will allow 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. I encourage you to complete the training to be better able to assist your staff in meeting this requirement. All staff must connect their CBC with your license number and the date this was completed must be documented on your Staff and Training Worksheet. Storage of Hazardous Items - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Any product that includes more than one warning must be in locked storage and any product that states “keep out of reach of children” must be stored 5 feet above the floor. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. These items are required to be kept in locked storage. The provider moved them to a locked storage closet during the visit. You were encouraged to do random checks of the classrooms to ensure they are consistently in compliance with requirements for the storage of hazardous items. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the play. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. Your facility completes regular playground inspections. Review with staff the importance of looking carefully at all the materials, surfacing, and stationary equipment to ensure that it is in good repair and ready for use by the children. Reminders: Sanitation Inspection: Your sanitation inspection expires on 9/21/24. You must contact Environmental Health to request an inspection to ensure one is completed before the expiration date. Emergency Preparedness and Response Plan – Your EPR plan was last reviewed on 9/7/23. A review must be completed in the Risk Management System before 9/7/24. Once the review is completed, the plan must be reviewed with all staff. Documentation of the review, signed and dated by the providers, must be on file and available for review. Place the documentation in the binder with the EPR plan to make it easy to review. Make sure this information is also shared with anyone who helps cover vacancies in your facility during the course of the academic year. This ensures that everyone is ready to respond quickly and safely in the event of an emergency. Orientation of New Staff – Taking time to fully train new staff helps to ensure they feel comfortable taking on their new role in your program. Each facility does things differently and has different expectations. All information shared during orientation should be specific to your program. Staff must have a working knowledge of how your facility handles emergency situations, behavior issues, and other important topics included as part of the mandatory orientation process. Use of on-line trainings can be helpful in understanding the NC Child Care Rules, but they are not designed to be used as a substitute for facility specific training. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have completed all of the required testing. Documentation of completion of these inspections must be on file and available for review during monitoring visits. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 47 Completed Date: 9/4/2024 Age: From 3 To 4 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. D. Banks, Head Start Director, and C. Jones, Temporary Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of lead teachers have a BA/BS or higher in ECE/CD. Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to schedule a rated license assessment unless you voluntarily request one. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 9/13/24. The sanitation inspection was completed 9/21/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% as of 9/2/24. Facility Information: We reviewed your facility information and per your statements, the information is current and accurate. Contact me if you need to make any changes to your information, e.g., phone numbers, email address, mailing address, owner information, or Legal Designee. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. After washing hands and toileting, the children in space 1 gathered on the carpet and danced to music. The staff danced with them. Later, the children transitioned to play outside. There continues to be a fenced playground located behind the building. New plastic hoops had been added to the selection of materials. The children rolled them on the ground and chased them. Lunch was observed and consisted of chicken salad, crackers, steamed carrots, tropical fruit, and milk. The staff sat with the children and ate lunch with them. After lunch, the children rested on linen covered cots. Corporation Status: This facility is currently owned by the Economic Improvement Council, Inc. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed at the center on 8/25/23 and a current approved inspection had not yet been completed. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. One staff record was not on site and available for review. G.S. 110-91( 9) 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 ABCMS portal showed that eight of the providers had not completed the process. G.S. 110-90.2 & .2703(r) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules and environmental health rules in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 9/18/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Fire Inspection - Each operator must schedule a fire inspection within 12 months of the center's previous fire inspection. The last fire inspection was completed at the center on 8/25/23. Per your statements, an inspection was completed on 8/22/24, but there were items that needed to be addressed concerning the front door and the storage of items in the kitchen. You stated that the items had been fixed but the inspector had not yet returned. You contacted the inspector during the visit. The inspector came out to complete the inspection but there were still concerns about the deadbolt lock on the front door. This was corrected during the visit but an approved inspection had not yet been received. Completing fire inspections each year ensures that the building is safe for use by the children. When an inspection is completed but an approved inspection is not issued, all items must be brought into compliance immediately. You must set up a tracking plan to ensure all required inspections are completed on time and submit the plan along with your compliance letter. Staff Files - Maintaining accurate documentation in your center is critical in demonstrating compliance with the child care rules and to ensuring that your staff meet the requirements to provide a healthy and safe environment for the children in their care. A file was not on site and available for review for the temporary administrator. Per our discussion, as staff are moved to cover vacancies, they must have a complete file on site to verify that they do have not criminal record and are healthy and qualified to work with the children. Criminal Background Change of Information – All staff are required to register their current place of employment on the Automated Background Check Management System (ABCMS) portal within five (5) days of employment. The ABCMS portal showed that eight of the providers had not completed the process. Beginning February 1, child care administrators can now access the ABCMS. This access will allow 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 them to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. I encourage you to complete the training to be better able to assist your staff in meeting this requirement. All staff must connect their CBC with your license number and the date this was completed must be documented on your Staff and Training Worksheet. Storage of Hazardous Items - Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Any product that includes more than one warning must be in locked storage and any product that states “keep out of reach of children” must be stored 5 feet above the floor. Packages of 75% alcohol wipes with keep out of reach of children and eye/skin irritant warnings were stored in an bottom drawer of an unlocked file cabinet in space 1. These items are required to be kept in locked storage. The provider moved them to a locked storage closet during the visit. You were encouraged to do random checks of the classrooms to ensure they are consistently in compliance with requirements for the storage of hazardous items. Playground Safety - Regular outdoor inspections are critical to prevent deterioration of equipment and accumulation of hazardous materials in the play. It also ensures that appropriate repairs are made as soon as possible. The outdoor play area should be inspected daily to ensure the materials are in good repair and ready for use by the children. The seat on the plastic bench on the left-hand side of the playground was loose and shifted if a person tried to sit on it. One tricycle was observed to have rust on the bar across the back of the wheels. Your facility completes regular playground inspections. Review with staff the importance of looking carefully at all the materials, surfacing, and stationary equipment to ensure that it is in good repair and ready for use by the children. Reminders: Sanitation Inspection: Your sanitation inspection expires on 9/21/24. You must contact Environmental Health to request an inspection to ensure one is completed before the expiration date. Emergency Preparedness and Response Plan – Your EPR plan was last reviewed on 9/7/23. A review must be completed in the Risk Management System before 9/7/24. Once the review is completed, the plan must be reviewed with all staff. Documentation of the review, signed and dated by the providers, must be on file and available for review. Place the documentation in the binder with the EPR plan to make it easy to review. Make sure this information is also shared with anyone who helps cover vacancies in your facility during the course of the academic year. This ensures that everyone is ready to respond quickly and safely in the event of an emergency. Orientation of New Staff – Taking time to fully train new staff helps to ensure they feel comfortable taking on their new role in your program. Each facility does things differently and has different expectations. All information shared during orientation should be specific to your program. Staff must have a working knowledge of how your facility handles emergency situations, behavior issues, and other important topics included as part of the mandatory orientation process. Use of on-line trainings can be helpful in understanding the NC Child Care Rules, but they are not designed to be used as a substitute for facility specific training. Additional Information: Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Based on the information in the Clean Classrooms for Carolina Kids, you have completed all of the required testing. Documentation of completion of these inspections must be on file and available for review during monitoring visits. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 3/1/2024 Number Present: 43 Completed Date: 3/1/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. A follow-up visit was also completed to monitor for compliance with violations cited during a complaint visit completed on 11/9/23. A McKinney, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of teachers have and AAS or higher in ECE/DC; 75% of lead teachers have a BA/BS or higher in ECE/CD. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. The center's compliance history was reviewed with the operator. The program’s compliance history was 84 % as of 2/27/24. The NC Secretary of State website was reviewed on 2/27/24 and Economic Improvement Council, Inc. was listed as current- active. Today was the administrator’s first day at the facility and she accompanied me during monitoring. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were transitioning from breakfast to center time. The children in space 1 toileted, washed hands and transitioned to the circle time space to dance and jump to music played on the big screen TV. The caregivers were interacting and meeting the developmental needs for each of the children. They later transitioned to playing outside on the playground located behind the building. The children had access to tricycles, a stationary climbing structure, and large building blocks. Lunch was observed and consisted of barbecue chicken, Hawaiian rolls, peas, and milk. Files for a substitute and support staff, who were on site, were reviewed for required information. No new permanent staff have been hired since the last monitoring visit. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, the file cabinet was locked but the key had been left in the lock. An aerosol can of Asepticare disinfectant was stored in one of the drawers. .2820(b) 853 Incident logs were not completed and maintained as required. The incident reports for IE dated 9/25/23 and the report for MM dated 9/18/23 did not include the parent signature, date, name of the person who completed the form, who contacted the parent, the date and time of the contact, or the signature of the person completing the form. The incident report for CC dated 11/21/23 did not include information on who completed the form, date and time of contact, or signature of the person who completed the form. .0802(g)(1-6) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were 2 hard plastic traffic cones that were chipped and broken with sharp edges. There was also a 12 inch patch of the Pour and Play surfacing where the top layer has peeled off and needs to be repaired. 10A NCAC 09 .0604(p) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 3/15/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all the required information and be signed by the parent. The incident reports for IE dated 9/25/23 and the report for MM dated 9/18/23 did not include the parent signature, date, name of the person who completed the form, who contacted the parent, the date and time of the contact, or the signature of the person completing the form. The incident report for CC dated 11/21/23 did not include information on who completed the form, date and time of contact, or signature of the person who completed the form. Per our discussion, it is important to ensure that all information is recorded and shared with the parent. The parent signature verifies that this information was shared and on what date it was shared. Playground Safety - Checking equipment daily and documenting it on the Outdoor Inspection Checklist at least monthly is important to ensure the integrity of outdoor materials. Staff must check all materials daily and remove any broken items before children arrive or use the playground. There were 2 hard plastic traffic cones that were chipped and broken with sharp edges. There was also a 12 inch patch of the Pour and Play surfacing where the top layer has peeled off and needs to be repaired. You removed the traffic cones from they playground during the visit today. You also stated that you submitted a request to have the surfacing repaired on 2/26/24. Per our discussion, consider having a staff member check the materials on the playground each day before the children arrive. This could be a rotating schedule among the staff. Storage of Hazardous Items - Intentional planning of the environment reduces injuries to young children. All aerosol spray cans must be stored in locked storage. In space 1, the file cabinet was locked but the key had been left in the lock. An aerosol can of Asepticare disinfectant was stored in one of the drawers. The staff member removed the can and placed it in locked storage during the visit. Remind staff that once they lock the drawer, they must remove the key or other locking device and separate it from the lock. Additional Technical Assistance: Allergy and Special Diet Information – Part of how you keep children safe is ensuring that anyone who works with the children is aware of their allergy and special diet needs. This information must be posted in the kitchen and in the classrooms where children eat to ensure that anyone working in the facility is aware of the child’s special needs. Per your question, because your list in the kitchen specifies which classroom each child is in, you can use this copy in each classroom and do not have to have individual class lists. Posting this information helps to reduce the chance of accidents that could harm a child. You can place a sheet of paper over the information for confidentiality. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information and set up a tracking system for when forms need to be updated. Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers 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. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. Remember that all staff must align their criminal background check with the facility license number where they are currently employed. This must be completed in the CBC portal within 5 business days of hire. As the new administrator for the facility, you must go into the system and update your information and verify that all staff have completed this requirement. Additional Information: Asbestos and Lead Based Paint Testing – New rules have been put into place which require all licensed facilities to complete asbestos and lead based paint testing. To register your facility, go to the Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ . Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead-based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. You will also find a helpful FAQ tab on the website to help answer any questions you may have. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 3/1/2024 Number Present: 43 Completed Date: 3/1/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for a routine unannounced visit. A follow-up visit was also completed to monitor for compliance with violations cited during a complaint visit completed on 11/9/23. A McKinney, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for: 75% of teachers have and AAS or higher in ECE/DC; 75% of lead teachers have a BA/BS or higher in ECE/CD. On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. The center's compliance history was reviewed with the operator. The program’s compliance history was 84 % as of 2/27/24. The NC Secretary of State website was reviewed on 2/27/24 and Economic Improvement Council, Inc. was listed as current- active. Today was the administrator’s first day at the facility and she accompanied me during monitoring. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were transitioning from breakfast to center time. The children in space 1 toileted, washed hands and transitioned to the circle time space to dance and jump to music played on the big screen TV. The caregivers were interacting and meeting the developmental needs for each of the children. They later transitioned to playing outside on the playground located behind the building. The children had access to tricycles, a stationary climbing structure, and large building blocks. Lunch was observed and consisted of barbecue chicken, Hawaiian rolls, peas, and milk. Files for a substitute and support staff, who were on site, were reviewed for required information. No new permanent staff have been hired since the last monitoring visit. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, the file cabinet was locked but the key had been left in the lock. An aerosol can of Asepticare disinfectant was stored in one of the drawers. .2820(b) 853 Incident logs were not completed and maintained as required. The incident reports for IE dated 9/25/23 and the report for MM dated 9/18/23 did not include the parent signature, date, name of the person who completed the form, who contacted the parent, the date and time of the contact, or the signature of the person completing the form. The incident report for CC dated 11/21/23 did not include information on who completed the form, date and time of contact, or signature of the person who completed the form. .0802(g)(1-6) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were 2 hard plastic traffic cones that were chipped and broken with sharp edges. There was also a 12 inch patch of the Pour and Play surfacing where the top layer has peeled off and needs to be repaired. 10A NCAC 09 .0604(p) Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. 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. On or before 3/15/24, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all the required information and be signed by the parent. The incident reports for IE dated 9/25/23 and the report for MM dated 9/18/23 did not include the parent signature, date, name of the person who completed the form, who contacted the parent, the date and time of the contact, or the signature of the person completing the form. The incident report for CC dated 11/21/23 did not include information on who completed the form, date and time of contact, or signature of the person who completed the form. Per our discussion, it is important to ensure that all information is recorded and shared with the parent. The parent signature verifies that this information was shared and on what date it was shared. Playground Safety - Checking equipment daily and documenting it on the Outdoor Inspection Checklist at least monthly is important to ensure the integrity of outdoor materials. Staff must check all materials daily and remove any broken items before children arrive or use the playground. There were 2 hard plastic traffic cones that were chipped and broken with sharp edges. There was also a 12 inch patch of the Pour and Play surfacing where the top layer has peeled off and needs to be repaired. You removed the traffic cones from they playground during the visit today. You also stated that you submitted a request to have the surfacing repaired on 2/26/24. Per our discussion, consider having a staff member check the materials on the playground each day before the children arrive. This could be a rotating schedule among the staff. Storage of Hazardous Items - Intentional planning of the environment reduces injuries to young children. All aerosol spray cans must be stored in locked storage. In space 1, the file cabinet was locked but the key had been left in the lock. An aerosol can of Asepticare disinfectant was stored in one of the drawers. The staff member removed the can and placed it in locked storage during the visit. Remind staff that once they lock the drawer, they must remove the key or other locking device and separate it from the lock. Additional Technical Assistance: Allergy and Special Diet Information – Part of how you keep children safe is ensuring that anyone who works with the children is aware of their allergy and special diet needs. This information must be posted in the kitchen and in the classrooms where children eat to ensure that anyone working in the facility is aware of the child’s special needs. Per your question, because your list in the kitchen specifies which classroom each child is in, you can use this copy in each classroom and do not have to have individual class lists. Posting this information helps to reduce the chance of accidents that could harm a child. You can place a sheet of paper over the information for confidentiality. Medications - Administering medication requires skill, knowledge, and careful attention to detail. Remember, before accepting medication from a parent, you must have: 1. The medication in the original pharmacy box with all the required information. Make sure the expiration date on the box matches the date on the medication. 2. A Medical Action Plan completed by a physician attached to the child’s application in their file and in the Ready to Go file. 3. Written permission to administer the medication, with complete instructions for how and when the medication is to be administered and signed by the parent. You would use the long form for chronic conditions for this type of medication. Before receiving any medication from a parent, you must carefully review the medication, the pharmacy box, the medical action plan, and the permission to administer forms to ensure everything is correct and all information matches. Consider creating a checklist to complete each time medication is brought to the facility to help staff verify they have all the required information and set up a tracking system for when forms need to be updated. Provider Access to ABCMS - Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers 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. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. Remember that all staff must align their criminal background check with the facility license number where they are currently employed. This must be completed in the CBC portal within 5 business days of hire. As the new administrator for the facility, you must go into the system and update your information and verify that all staff have completed this requirement. Additional Information: Asbestos and Lead Based Paint Testing – New rules have been put into place which require all licensed facilities to complete asbestos and lead based paint testing. To register your facility, go to the Clean Classrooms for Carolina Kids website at https://www.cleanwaterforuskids.org/en/carolina/ . Under the ARPA Reimbursement Program licensed facilities can be reimbursed up to 100% for eligible expenses related to asbestos or lead-based paint abatement or remediation activities. Funding for reimbursement will be available until December 31, 2026, or until it is depleted, whichever comes first. You will also find a helpful FAQ tab on the website to help answer any questions you may have. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor, contact 1-888-600-1685 option 1. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: 1123-040L Visit Date: 11/9/2023 Number Present: 44 Completed Date: 11/9/2023 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegation is as follows: There is a concern that inappropriate discipline was used. I completed limited monitoring of child care requirements during the visit. Supervision of children, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance at the time of my observations. I also reviewed the center’s Economic Improvement Inc. Head Start/Early Head Start Behavior Management Policy, Challenging Behavior Policy, and Corporal Punishment Issuance. The facility does not have video surveillance. Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was reported that there are times when a staff member leaves the classroom to take a child to the office. During this time a teacher from the other classroom stands in the hall to help supervise both classrooms. .1801(a)(1-5) 872 Appropriate discipline practices were not followed. A report was received that a staff member pinched a child. .1803 The allegation was shared with the Administrator, the Family Advocate, and six staff members. Allegation: There is a concern that inappropriate discipline was used. Your Responses: The Head Start Director self-reported the allegation. It was reported that the first response to discipline issues is to talk with the child. If that is not successful, the child is placed in the “Thinking Chair” for 1 minute per year of age. If staff are unable to calm a child, the Family Advocate or the Administrator would be called to assist. They would talk with the child in the classroom or out in the hall. If the child continued to be uncontrollable, they would be taken to the office until they calmed down. Some reports stated that there is a policy that 2 staff members must always be with the child. Others did not know of any specific requirements. If behavior issues continued, the parent would be contacted. It was reported that there are times when a staff member leaves the classroom to take a child to the office. During this time a teacher from the other classroom stands in the hall to help supervise both classrooms. A report was received that a staff member pinched a child. My Observations: I reviewed the center’s discipline policy which stated, “We do not handle children roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.” During my classroom observations today, I observed positive, respectful, and nurturing staff child interactions. Supervision and Staff/child ratios were observed to be in compliance. Based upon your statements and my observations, this allegation is confirmed. The following violations were observed: Comments: As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated February 2021), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. On or before 11/23/23, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Discipline – Praise and positive reinforcement are effective methods of the behavior management of children. When children receive positive, non-violent, and understanding interactions from adults and others, they develop good self-concepts, problem solving abilities, and self-discipline. Physical punishment of any type does not promote positive relationships or provide children with the guidance they need to learn to make good choices. As a licensed provider, you are mandated to report any use of inappropriate discipline. Any incident should be self-reported to the Division to ensure the safety of children. Your policies and procedures should include this information and provide clear instructions for how different behavior events should be handled. Currently, the policy does not describe when a child would be removed from the classroom, where the child would be taken, or how many adults are required to be present with the child. Review your discipline policy and, once updates are made, they must be reviewed with all staff to ensure they have a working knowledge of the policy. These policies should be reviewed multiple times during the year to keep the information fresh in staff’s minds. Supervision - Children must be adequately supervised at all times. Adequate supervision means that staff interact with the children while moving about the indoor and outdoor area and are able to hear and see the children at all times, except when emergencies necessitate that direct supervision is impossible for brief periods of time. It was reported that there are times, when a staff member takes a child to the office, a staff member from the room across the hall stands in the hallway to help supervise both classrooms. Standing in the hallway does not provide adequate supervision. When a teacher must step out of a classroom, there must be an additional caregiver available who can maintain supervision of the children. Based on the number of children in care in the facility, a minimum of 2 staff members must always be present in the classroom. When only 1 staff member is in the classroom, they cannot adequately supervise the number of children in care. This can create a safety concern. Per our discussion, review supervision requirements with staff and work with them on procedures to ensure classrooms are covered with the required staff. This could include procedures on how they contact the office for assistance and a review of staff/child ratios to understand when they can leave 1 staff member with the children. Based on the violations cited, a return visit will be made to verify compliance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 41 Completed Date: 9/13/2023 Age: From 3 To 4 Total Minutes: 335 Time In: 08:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. R. Downing, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and ratios and space) and 1 quality point for: On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 10/5/22. The sanitation inspection was completed 8/30/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% as of 9/11/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The children washed hands after breakfast and the tables were cleaned and sanitized as required. In space 1, the children transitioned to circle time where they jumped and danced to a music video. Children in other classrooms read books, sang the days of the week, and answered the question of the day. A fire drill was completed. Staff assisted the children to evacuate. Head counts were done once children were outside and again as they returned to the classroom. Lunch was observed and consisted of a turkey and cheese sandwich on whole wheat bread, green beans, mandarin oranges, and milk. After lunch, the children had a brief circle time and then rested on linen covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc.. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on 8/30/22 and documentation of a current inspection was not available for review. 10A NCAC 09 .0304(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. .0601(c) 847 Parent's medication authorization did not include required information. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member had a report on file that had her signature but was not signed by a medical professional. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One provider, hired on 7/11/23, did not have documentation on file that the following topics were completed during orientation: An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. .1101(a) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated February 2021), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. On or before 9/27/23, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Parental Permission to Administer Medication - Administering medication requires skill, knowledge, and careful attention to detail. Parents must give a provider written authorization to administer any medication. The permission must include the parent’s signature and the date the parent signed the form. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. Checking all medication permission forms at least monthly will help to ensure that the information is current and accurate. You must be diligent in monitoring the medication forms to prevent any inadvertent medication errors, which may be harmful to the child. You stated that you would recheck the forms to ensure they are correct. Equipment and Furnishing Hazards – All areas of the facility must be monitored daily to ensure there are no hazards that could injure a child. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. The stall must be blocked off from use and the lid replaced immediately. You stated that the whole toilet may need to be replace but you will contact maintenance to see if it can be repaired. Staff Orientation Training – Providing a comprehensive orientation helps new staff feel confident in their new position and ensures that they have a working knowledge of NC Child Care Rule requirements. All new staff must receive 16 hours of orientation in the first 6 weeks of employment. S. White-Perry was hired on 7/11/23 but did not have documentation on file that the following topics were completed during orientation: -An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource. -An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations. -Prevention of and response to emergencies due to food and allergic reactions. -Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Per our discussion, these topics must be reviewed immediately, and the date of review documented on the form as verification of compliance. You stated that she completed the training on these topic areas and will update the form to verify completion. Staff Medical Records – All staff need to be physically and emotionally healthy to perform the tasks of providing care to children. The Medical Report form must be completed and signed by a health care professional. This documentation must be on file by the provider’s first day of employment. F. White had a report on file that had her signature but was not signed by a medical professional. Per our discussion, when you receive staff documentation, the information must be reviewed carefully to ensure it is complete. You stated that the medical office has been contacted to obtain signed verification. Sanitation Inspections – Regular monitoring of the environmental health requirements helps to ensure the facility is safe and healthy for the children in care. Sanitation inspections must be conducted at least annually. Annually means before the date of the last inspection. A courtesy call should be made to the inspector a couple of months before the next inspection is due to ensure they are completed within the required time frame. You stated that the inspector came early, and the children were not yet in care. She stated that she planned to come back, however, the inspection has not yet been completed. Consider sending both the fire and sanitation inspectors a copy of your academic calendar each year so they know when the children start care and when you are scheduled to be closed for holidays, etc. This will save them time and help to prevent a late inspection. Additional Information: MCCYN-PLUS expansion in NC - Child care programs with a license rated 3 stars or higher can now participate in the military’s fee assistance program. The Department of Defense and Child Care Aware® of America have launched the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative to make it easier for North Carolina’s military families to access and afford quality child care from community providers. Child care programs with a license rated 3 stars or higher in the state’s quality rating and improvement program are eligible to apply. In addition to increasing the number of quality child care options for military families, MCCYN-PLUS gives eligible child care providers an opportunity to support and expand their businesses. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware® of America. Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new support email address and phone number to help providers navigate Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Fire and Sanitation Inspections – The State of Emergency due to Covid-19 has been lifted, and flexibility for having fire and sanitation inspections completed is no longer available. Ensure that your inspections are completed at least annually by contacting your Environmental Health Inspector and/or Fire Inspector prior to the expiration of your inspections. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 41 Completed Date: 9/13/2023 Age: From 3 To 4 Total Minutes: 335 Time In: 08:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. R. Downing, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and ratios and space) and 1 quality point for: On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 10/5/22. The sanitation inspection was completed 8/30/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% as of 9/11/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The children washed hands after breakfast and the tables were cleaned and sanitized as required. In space 1, the children transitioned to circle time where they jumped and danced to a music video. Children in other classrooms read books, sang the days of the week, and answered the question of the day. A fire drill was completed. Staff assisted the children to evacuate. Head counts were done once children were outside and again as they returned to the classroom. Lunch was observed and consisted of a turkey and cheese sandwich on whole wheat bread, green beans, mandarin oranges, and milk. After lunch, the children had a brief circle time and then rested on linen covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc.. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on 8/30/22 and documentation of a current inspection was not available for review. 10A NCAC 09 .0304(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. .0601(c) 847 Parent's medication authorization did not include required information. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member had a report on file that had her signature but was not signed by a medical professional. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One provider, hired on 7/11/23, did not have documentation on file that the following topics were completed during orientation: An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. .1101(a) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated February 2021), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. On or before 9/27/23, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Parental Permission to Administer Medication - Administering medication requires skill, knowledge, and careful attention to detail. Parents must give a provider written authorization to administer any medication. The permission must include the parent’s signature and the date the parent signed the form. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. Checking all medication permission forms at least monthly will help to ensure that the information is current and accurate. You must be diligent in monitoring the medication forms to prevent any inadvertent medication errors, which may be harmful to the child. You stated that you would recheck the forms to ensure they are correct. Equipment and Furnishing Hazards – All areas of the facility must be monitored daily to ensure there are no hazards that could injure a child. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. The stall must be blocked off from use and the lid replaced immediately. You stated that the whole toilet may need to be replace but you will contact maintenance to see if it can be repaired. Staff Orientation Training – Providing a comprehensive orientation helps new staff feel confident in their new position and ensures that they have a working knowledge of NC Child Care Rule requirements. All new staff must receive 16 hours of orientation in the first 6 weeks of employment. S. White-Perry was hired on 7/11/23 but did not have documentation on file that the following topics were completed during orientation: -An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource. -An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations. -Prevention of and response to emergencies due to food and allergic reactions. -Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Per our discussion, these topics must be reviewed immediately, and the date of review documented on the form as verification of compliance. You stated that she completed the training on these topic areas and will update the form to verify completion. Staff Medical Records – All staff need to be physically and emotionally healthy to perform the tasks of providing care to children. The Medical Report form must be completed and signed by a health care professional. This documentation must be on file by the provider’s first day of employment. F. White had a report on file that had her signature but was not signed by a medical professional. Per our discussion, when you receive staff documentation, the information must be reviewed carefully to ensure it is complete. You stated that the medical office has been contacted to obtain signed verification. Sanitation Inspections – Regular monitoring of the environmental health requirements helps to ensure the facility is safe and healthy for the children in care. Sanitation inspections must be conducted at least annually. Annually means before the date of the last inspection. A courtesy call should be made to the inspector a couple of months before the next inspection is due to ensure they are completed within the required time frame. You stated that the inspector came early, and the children were not yet in care. She stated that she planned to come back, however, the inspection has not yet been completed. Consider sending both the fire and sanitation inspectors a copy of your academic calendar each year so they know when the children start care and when you are scheduled to be closed for holidays, etc. This will save them time and help to prevent a late inspection. Additional Information: MCCYN-PLUS expansion in NC - Child care programs with a license rated 3 stars or higher can now participate in the military’s fee assistance program. The Department of Defense and Child Care Aware® of America have launched the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative to make it easier for North Carolina’s military families to access and afford quality child care from community providers. Child care programs with a license rated 3 stars or higher in the state’s quality rating and improvement program are eligible to apply. In addition to increasing the number of quality child care options for military families, MCCYN-PLUS gives eligible child care providers an opportunity to support and expand their businesses. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware® of America. Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new support email address and phone number to help providers navigate Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Fire and Sanitation Inspections – The State of Emergency due to Covid-19 has been lifted, and flexibility for having fire and sanitation inspections completed is no longer available. Ensure that your inspections are completed at least annually by contacting your Environmental Health Inspector and/or Fire Inspector prior to the expiration of your inspections. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 41 Completed Date: 9/13/2023 Age: From 3 To 4 Total Minutes: 335 Time In: 08:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. R. Downing, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and ratios and space) and 1 quality point for: On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 10/5/22. The sanitation inspection was completed 8/30/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% as of 9/11/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The children washed hands after breakfast and the tables were cleaned and sanitized as required. In space 1, the children transitioned to circle time where they jumped and danced to a music video. Children in other classrooms read books, sang the days of the week, and answered the question of the day. A fire drill was completed. Staff assisted the children to evacuate. Head counts were done once children were outside and again as they returned to the classroom. Lunch was observed and consisted of a turkey and cheese sandwich on whole wheat bread, green beans, mandarin oranges, and milk. After lunch, the children had a brief circle time and then rested on linen covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc.. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on 8/30/22 and documentation of a current inspection was not available for review. 10A NCAC 09 .0304(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. .0601(c) 847 Parent's medication authorization did not include required information. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member had a report on file that had her signature but was not signed by a medical professional. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One provider, hired on 7/11/23, did not have documentation on file that the following topics were completed during orientation: An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. .1101(a) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated February 2021), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. On or before 9/27/23, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Parental Permission to Administer Medication - Administering medication requires skill, knowledge, and careful attention to detail. Parents must give a provider written authorization to administer any medication. The permission must include the parent’s signature and the date the parent signed the form. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. Checking all medication permission forms at least monthly will help to ensure that the information is current and accurate. You must be diligent in monitoring the medication forms to prevent any inadvertent medication errors, which may be harmful to the child. You stated that you would recheck the forms to ensure they are correct. Equipment and Furnishing Hazards – All areas of the facility must be monitored daily to ensure there are no hazards that could injure a child. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. The stall must be blocked off from use and the lid replaced immediately. You stated that the whole toilet may need to be replace but you will contact maintenance to see if it can be repaired. Staff Orientation Training – Providing a comprehensive orientation helps new staff feel confident in their new position and ensures that they have a working knowledge of NC Child Care Rule requirements. All new staff must receive 16 hours of orientation in the first 6 weeks of employment. S. White-Perry was hired on 7/11/23 but did not have documentation on file that the following topics were completed during orientation: -An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource. -An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations. -Prevention of and response to emergencies due to food and allergic reactions. -Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Per our discussion, these topics must be reviewed immediately, and the date of review documented on the form as verification of compliance. You stated that she completed the training on these topic areas and will update the form to verify completion. Staff Medical Records – All staff need to be physically and emotionally healthy to perform the tasks of providing care to children. The Medical Report form must be completed and signed by a health care professional. This documentation must be on file by the provider’s first day of employment. F. White had a report on file that had her signature but was not signed by a medical professional. Per our discussion, when you receive staff documentation, the information must be reviewed carefully to ensure it is complete. You stated that the medical office has been contacted to obtain signed verification. Sanitation Inspections – Regular monitoring of the environmental health requirements helps to ensure the facility is safe and healthy for the children in care. Sanitation inspections must be conducted at least annually. Annually means before the date of the last inspection. A courtesy call should be made to the inspector a couple of months before the next inspection is due to ensure they are completed within the required time frame. You stated that the inspector came early, and the children were not yet in care. She stated that she planned to come back, however, the inspection has not yet been completed. Consider sending both the fire and sanitation inspectors a copy of your academic calendar each year so they know when the children start care and when you are scheduled to be closed for holidays, etc. This will save them time and help to prevent a late inspection. Additional Information: MCCYN-PLUS expansion in NC - Child care programs with a license rated 3 stars or higher can now participate in the military’s fee assistance program. The Department of Defense and Child Care Aware® of America have launched the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative to make it easier for North Carolina’s military families to access and afford quality child care from community providers. Child care programs with a license rated 3 stars or higher in the state’s quality rating and improvement program are eligible to apply. In addition to increasing the number of quality child care options for military families, MCCYN-PLUS gives eligible child care providers an opportunity to support and expand their businesses. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware® of America. Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new support email address and phone number to help providers navigate Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Fire and Sanitation Inspections – The State of Emergency due to Covid-19 has been lifted, and flexibility for having fire and sanitation inspections completed is no longer available. Ensure that your inspections are completed at least annually by contacting your Environmental Health Inspector and/or Fire Inspector prior to the expiration of your inspections. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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: EIC PASQUOTANK/CAMDEN HEAD START CENTER Facility ID: 70000021 Consultant: ANNE BUCK Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 41 Completed Date: 9/13/2023 Age: From 3 To 4 Total Minutes: 335 Time In: 08:55 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced Annual Compliance Visit today was to monitor this program for compliance with applicable child care requirements, including requirements for NC Pre-Kindergarten. R. Downing, Administrator, assisted me with today’s visit. Your program currently operates with a five-star license, issued 5/9/20 earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and ratios and space) and 1 quality point for: On June 27, 2023, the Division of Child Development and Early Education (DCDEE) introduced a cohort model and timeline for resuming the star rated license reassessments. This cohort model includes a preparation year and a reassessment year. Your facility will be in Cohort 2 which means your preparation year will be 7/1/24-6/30/25 and your reassessment year will be 7/1/25-6/30/26. There are opportunities within the preparation year that will help prepare your facility for the reassessment year. Additional information and supports are available on the Division website under Providers, Licensing, Star Rated License, and Resuming Star Rated License. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 10/5/22. The sanitation inspection was completed 8/30/23. with a “Superior” classification. The last fire inspection was conducted 8/25/23. and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% as of 9/11/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. The children washed hands after breakfast and the tables were cleaned and sanitized as required. In space 1, the children transitioned to circle time where they jumped and danced to a music video. Children in other classrooms read books, sang the days of the week, and answered the question of the day. A fire drill was completed. Staff assisted the children to evacuate. Head counts were done once children were outside and again as they returned to the classroom. Lunch was observed and consisted of a turkey and cheese sandwich on whole wheat bread, green beans, mandarin oranges, and milk. After lunch, the children had a brief circle time and then rested on linen covered cots. Corporation Status: This facility is currently owned by Economic Improvement Council, Inc.. According to the NC Secretary of State's website, this corporation is current and active. Please contact me prior to any information changing regarding the ownership of this facility. The Albemarle Alliance for Children and Families / Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales. Their phone number is (252) 333-1233 or check out their website at www.albemarleafc.org. The following violation(s) were documented: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was completed on 8/30/22 and documentation of a current inspection was not available for review. 10A NCAC 09 .0304(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. .0601(c) 847 Parent's medication authorization did not include required information. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member had a report on file that had her signature but was not signed by a medical professional. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One provider, hired on 7/11/23, did not have documentation on file that the following topics were completed during orientation: An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. .1101(a) As a licensed child care operator, it is your responsibility to be knowledgeable of the child care laws and rules and to maintain compliance with them. The NC General Statutes (Updated September 2020), Child Care Rules (Updated February 2021), and the “What’s New” section of The Division of Child Development and Early Education (DCDEE) website, ncchildcare.ncdhhs.gov, are excellent resources to help you stay current with the child care requirements. The most current forms and documents needed for your licensed facility are available under the Provider tab. Many of them are now interactive so that you can type right into the form. Many of the forms needed for families are now offered in Spanish too. And of course, I am also available to assist you, should you have questions about the child care requirements. 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. On or before 9/27/23, 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 considered 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. Mail or email the information to: Anne Buck, Child Care Consultant PO Box 2363 Elizabeth City, NC 27906 Anne.Buck@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Parental Permission to Administer Medication - Administering medication requires skill, knowledge, and careful attention to detail. Parents must give a provider written authorization to administer any medication. The permission must include the parent’s signature and the date the parent signed the form. In space 4, ML had a permission form for Ventolin HFA that was signed but not dated by the parent. Checking all medication permission forms at least monthly will help to ensure that the information is current and accurate. You must be diligent in monitoring the medication forms to prevent any inadvertent medication errors, which may be harmful to the child. You stated that you would recheck the forms to ensure they are correct. Equipment and Furnishing Hazards – All areas of the facility must be monitored daily to ensure there are no hazards that could injure a child. In the bathroom, between space 1 and space 3, the lid on the water tank of 1 toilet was cracked and chipped with a sharp edge. The stall must be blocked off from use and the lid replaced immediately. You stated that the whole toilet may need to be replace but you will contact maintenance to see if it can be repaired. Staff Orientation Training – Providing a comprehensive orientation helps new staff feel confident in their new position and ensures that they have a working knowledge of NC Child Care Rule requirements. All new staff must receive 16 hours of orientation in the first 6 weeks of employment. S. White-Perry was hired on 7/11/23 but did not have documentation on file that the following topics were completed during orientation: -An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource. -An explanation of the employee’s obligation to cooperate with representatives of State and local government agencies during visits and investigations. -Prevention of and response to emergencies due to food and allergic reactions. -Review of the center’s handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Per our discussion, these topics must be reviewed immediately, and the date of review documented on the form as verification of compliance. You stated that she completed the training on these topic areas and will update the form to verify completion. Staff Medical Records – All staff need to be physically and emotionally healthy to perform the tasks of providing care to children. The Medical Report form must be completed and signed by a health care professional. This documentation must be on file by the provider’s first day of employment. F. White had a report on file that had her signature but was not signed by a medical professional. Per our discussion, when you receive staff documentation, the information must be reviewed carefully to ensure it is complete. You stated that the medical office has been contacted to obtain signed verification. Sanitation Inspections – Regular monitoring of the environmental health requirements helps to ensure the facility is safe and healthy for the children in care. Sanitation inspections must be conducted at least annually. Annually means before the date of the last inspection. A courtesy call should be made to the inspector a couple of months before the next inspection is due to ensure they are completed within the required time frame. You stated that the inspector came early, and the children were not yet in care. She stated that she planned to come back, however, the inspection has not yet been completed. Consider sending both the fire and sanitation inspectors a copy of your academic calendar each year so they know when the children start care and when you are scheduled to be closed for holidays, etc. This will save them time and help to prevent a late inspection. Additional Information: MCCYN-PLUS expansion in NC - Child care programs with a license rated 3 stars or higher can now participate in the military’s fee assistance program. The Department of Defense and Child Care Aware® of America have launched the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative to make it easier for North Carolina’s military families to access and afford quality child care from community providers. Child care programs with a license rated 3 stars or higher in the state’s quality rating and improvement program are eligible to apply. In addition to increasing the number of quality child care options for military families, MCCYN-PLUS gives eligible child care providers an opportunity to support and expand their businesses. Providers interested in qualifying for MCCYN-PLUS can apply through Child Care Aware® of America. Moodle Support - The Division offers early childhood professionals a wide range of professional development opportunities through the online learning platform Moodle. DCDEE has established a new support email address and phone number to help providers navigate Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. New Pathways to the Early Childhood Education Profession – Early educators now have multiple options to achieve higher education. • Staff can earn a no-cost nationally recognized Child Development Associate® (CDA) certificate through a free Professional Development Teacher Membership from Teaching Strategies. Courses are offered in English and Spanish. In addition, a T.E.A.C.H. scholarship is available to cover the CDA book and assessment fees. • They could also choose take the free online NC Early Childhood Equivalency Exam on DCDEE Moodle to earn the North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to the EDU 119 college course for star rated license evaluation. • A third options for staff is to turn their training and experience into a degree in Early Childhood Education. Providers can submit a Credit for Prior Learning portfolio to receive up to nine community college ECE credits for your early childhood knowledge and skills from participating NC Community Colleges. Credits can be applied toward the newly created Early Childhood Workforce Certificate, Early Childhood Education Diploma, Certificate and/or an Associate in Applied Science (AAS) Degree in Early Childhood Education. See the Raise North Carolina email blast from 9/1/23 for links to more information. Fire and Sanitation Inspections – The State of Emergency due to Covid-19 has been lifted, and flexibility for having fire and sanitation inspections completed is no longer available. Ensure that your inspections are completed at least annually by contacting your Environmental Health Inspector and/or Fire Inspector prior to the expiration of your inspections. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, please contact me by phone at 252-333-2084 or Jennifer Linhardt, Licensing Supervisor, may also be contacted at (252) 373-4199. 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