10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WNCSOURCE ETOWAH CHILDREN'S CENTER Facility ID: 45000305 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 22 Completed Date: 4/8/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 02:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed Heather Butterfield, Site Supervisor, during the visit. A signed copy of the visit summary was left on site with you. Today, Heather Butterfield, Site Supervisor and Candice Freeman, Administrator, were available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored was emailed to you for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 4/7/24. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 4/7/24. Permit type – Five Star Child Care License Special Services/Restrictions – Daytime care only; Meets Enhanced Space; Meets reduced staff/child ratios. The last annual compliance visit was conducted on 4/14/23. The last fire drill was practiced on 3/22/24. The last shelter in place drill was practiced on 2/29/24/24. The last playground inspection was documented on 3/4/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 2/2/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is updated as of 2/5/24. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Heather Butterfield, Site Supervisor and Candice Freeman, Administrator. The infant and toddler children were observed having free choice play on the playground. The preschool aged children were having free choice play on the playground. The children transitioned indoors, toileted, had diapers changed, washed hands, and were served lunch. Lunch consisted of chicken, waffles, apples, broccoli, and milk. The lunch matched what was on the posted menu. All learning domains were addressed with the types of materials available. The outdoor playground offers many opportunities for running and vigorous play. The equipment provides opportunities for balancing, riding toys, ball play, sand and water and dramatic play. Portable materials were available to enhance outdoor play. All interactions were positive and nurturing. Supervision was adequate. Fifty-one (51) children are enrolled. Six (6) children’s files were monitored for child care requirements. There are (5) newly hired staff. The newly hired staff file and one (1) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The staff and training worksheet was received during today’s visit and monitored for child care requirements. The following violations were documented during today’s visit. Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's (Z.H.) feeding plan did not include a parent's signature. .0902(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: 1232-Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. One (1) staff, B.G., does not have an annual staff evaluation on file. Plan to complete a staff evaluation, using a reminder on a calendar, to ensure the evaluation does not lapse 12 months. 541-The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Plan to have someone double check for parent signatures on feeding plans. One (1) child's (Z.H.) feeding plan did not include a parent's signature. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times