10A NCAC 09 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .3222 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 29 Completed Date: 9/25/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 09:32 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jordyn Youse, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Youse was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 9/9/25. The last playground inspection was documented on 8/29/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 8/1/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum for NC Pre-K and Higher Reach for Non-NC Pre-K classrooms. Lead water testing was completed on 12/11/23 without hazards. Lead paint and asbestos testing was completed on 5/16/24 and the program is exempt from further testing. No staff members are listed on the ABCMS system. Ms. Youse has completed the ABCMS training. Upon arrival, I greeted staff members and notified the purpose of the visit. Space #1, #6, #7 and #8 were currently not in use. In space #2, a group of eight (8) children, all four (4) years old, with one (1) staff member were present. The children participated in group time discussion transportations with the staff member. Paint on a section of a wall was peeled. This was noted on the sanitation inspection conducted on April 3, 2025. Per Ms. Youse, The wall was re-painted. However, the uneven wall was not properly filled. As a result, the paint in the same section was peeled by the children in the classroom. The repair by a contractor company is scheduled for next week. Space #3 is used for school-age children. No children were present in the classroom during the visit. In space #4, a group of eight (8) children, four (4) and five (5) years old, engaged in free play with magnetic tiles, toy vehicles, blocks, manipulative and math materials. In space #5, four (4) children, an infant and one (1) year olds, were present with one (1) staff member. The children gathered around the staff member and watched the bubbles come out of the bubble machine. Diaper creams were maintained in the classroom. In space #9, a group of children, two (2) and three (3) year old, were present with one (1) staff member. The children played with pretend doctor kit, blocks, magnetic tiles and other materials. One (1) diaper cream was maintained in the classroom. No emergency medications were maintained currently at this facility. No hazardous products were accessible to children. Playgrounds were monitored. Per Ms. Youse, infants currently use space #4 instead of #5 due to mud issues. The loose surfacing in the playground #1, depth of loose surfacing was seven (7) inches, eight (8) inches for playground #2 and six (6) inches for playground #3. On playground #2, paint on the structure handles were chipped. On playground #3, animal feces were present on the grass area. Before playground #5 is used by infants/toddlers, the water hose should be neatly coiled and the deteriorated netting materials must be removed or inaccessible to the children. The netting was buried in the ground in the past, but they were partially exposed due to rain. One (1) new staff file was monitored in full, and seven (7) existing staff files were monitored partially for criminal background letters, ITS/SIDS training certificates for the required staff members, CPR/First Aid training and BSAC for some staff members. The children had chicken patty, mixed vegetables, apple slices, pasta with cheese sauce, and milk for lunch. Items were accurately listed on the menu. Rest time was monitored. Lighting, spaces among cots and supervision were adequate. Interaction and supervision were adequate. 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 provide transportation. However, buses are under repair and currently not in use. No buses were present at the facility. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The NC Pre-K Program Site Monitoring has not been completed yet. No children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On playground space #2, the paint on the handles of the structure was peeled in sections. On playground space #3, there were animal droppings on the grassed area. 10A NCAC 09 .0601(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. the responsible party's choice of health care professional was not listed on the emergency information form for a new staff member who was hired on 8/13/25. .0701(a) Technical assistance was provided as follows: 807: Safe environment Animal droppings must be removed from the playground area and inaccessible to the children. Playground must be inspected daily prior to its use to make sure that playground is free of hazards, such as animal feces, broken materials and foreign objects. There were animal droppings on the preschool playground. Additionally, the paint on the handles on the equipment in the NC Pre-K/School-age playground were peeled. In your compliance letter, please state how you achieve the compliance. 1035: Emergency information form. The responsible party's choice of health care professional is required information. This item was corrected during the visit. You don’t have to include this item in your compliance letter. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Rated License Assessment/New QIRS discussion: Per Ms. Youse, the corporation decided to choose pathway #1 for their childcare programs. Timeline: You may apply for the Rated License Assessment at any time. The Rated License Assessment visit is scheduled first, and the ERS assessments and ERS visit are conducted afterward. Ms. Youse mentioned that the corporation set a goal to be ready for the assessment by April 2026. To reduce the number of visits in spring 2026, we discussed two options: applying in February 2026 or applying in August/September 2026. Applying in late winter 2026 (February) would allow me to combine the annual compliance visit with the Rated License Assessment. This option also provides a more reasonable timeline for the ERS-3 assessments, since assessments may be delayed or not conducted in the spring due to increased demand. Ms. Youse noted that she would like to avoid applying during the summer months. If applying in February 2026 is not possible, another option is to apply in September 2026. However, please note that due to high demand, ERS assessments may not be scheduled immediately. Education: Currently, there are four (4) lead teachers with the following qualifications: one (1) Bachelor’s degree, two (2) Associate of Applied Science (AAS) degrees, and one (1) credential. Additional educators include Ms. Youse, an assistant director, and a teacher. Ms. Youse plans to enroll in a bachelor’s program in January 2026. Based on the information, three (3) lead teachers have adequate education. For five (5) star education levels, they must participate in coaching/mentoring for at least five (5) hours per week. The coaching and mentoring must be for the improvement of early childhood education related practices. Education standards were reviewed during the visit on the QIRS Modernization page. Please note that the staff list may change if the program applies in September 2026. Self-Study: Per Ms. Youse, the program is currently completing self-study using the Think More Tools provided by the NCRLAP website. We reviewed the self-study forms on the NCRLAP website together during the visit. CQI: I am not sure if a template is available for CQI. If the template is available in near future, I will communicate with you. The guidelines for CQI is similar to the Staff Development Plan available on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Family and Community Engagement: According to Ms. Youse, the program conducts parent-teacher conferences in both the fall and spring. Family events include a “Friendsgiving” gathering and a fall festival. Additional activities being considered for families are craft opportunities and Christmas caroling. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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 .0803 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-90 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Child Development Schools North Carolina, LLC, is current/active as of 3/7/25. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only . This is the first annual compliance visit after temporary license. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 12/13/24. The last playground inspection was documented on 3/5/25. The last fire inspection was approved on 3/5/25. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach. However, NC Pre-K uses the Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of nine (9) children, all three (3) years of age, were present with one (1) teacher. The children sat at the table and listened to the teacher read a book while they waited for the breakfast. The children had pears, waffles and milk for breakfast. In space #2, a group of six (6) children, all four (4) years of age, were present with (two) teachers. The children danced by the table while waiting for breakfast. No children were present in space #3. This classroom is used for after school children. In space #4, a group of eight (8) children, four-to-five years of age, were present with one (1) teacher. The children participated in group time. The teacher read a story about butterflies and facilitated a discussion about insects. This is NC Pre-K classroom. In space #5, four (4) children, all infants, were present with one (1) teacher. The children gathered around the teacher and explored the materials around them. Feeding plans, posters, sleep check, diaper creams requirements were in compliance. The door to the hot water heater was locked. Two (2) emergency cribs were present. A gas drop was maintained in the classroom. Space #6 was not currently in use. In space #7, a group of four (4) children, all one (1) year of age, were present with one (1) teacher. One (1) of the children were not yet walking but could crawl. The children engaged in free play with toy vehicles, soft blocks and other materials. One (1) prescription cream and over-the-counter diaper creams were maintained in the classroom. Space #8 was not currently used. The children from space #9 transitioned from the classroom to the playground. There were six (6) children, all two (2) years of age, with one (1) teacher. The children played with balls, a slide structure, and toy vehicles on the playground. All over-the-counter medications had valid authorization forms. Storage of the medications were in compliance. No emergency medications were currently maintained at this facility. Five (5) playground spaces were monitored. The infant playground is grassed with no play structures. There were vinyl or plastic netting ground covers on the ground. The ground cover is deteriorated and clumped together in some sections. The mulch by the slide structure on the toddler playground was measured for seven and a half (7 ½) inches. The mulch around the slide structure on NC Pre-K/School Age playground was measured for nine (9) inches. The mulch by monkey bars and a slide structure on the preschool playground were measured for nine (9) inches. Structures on all playgrounds were in decent shape and no safety hazards were observed. Lunch was served during the visit. Raviolis, peas, apple sauce, corn muffin and milk were served. Both breakfast and lunch items were accurately listed on the menu. Supervision and interaction were adequate. Eight (8) children’s files were monitored including two (2) NC Pre-K children. Two (2) existing staff files were monitored in full. All CPR/First Aid training listed on the Staff and Training Worksheet are the data of the training. Som of the dates on the Staff and Training Worksheet was corrected during the visit by Ms. Morris. 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 currently. One (1) bus is under repair at a auto shop, and the other bus was transferred to Childcare Network #178 to replace their damaged bus. There are eleven (11) children, all school-aged, take DPI public school buses to come to the facility. Due to no transportation being present at the facility, no monitoring of transportations occurred during today’s visit. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. Two (2) children files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A tube of Nystatin was maintained in a locked cabinet without its original box with a pharmacy label in space #7. .0803(2)(a) 1043 All staff records, except financial records, were not made available for review. The staff members' on-going training information was not listed on the Staff and Training Worksheet or filed in the staff files. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). N. Morris' criminal background check expired on March 9, 2025, and the recheck was not complete prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. N. Morris' valid criminal background letter was not in file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1044: Criminal background rechecks Prior to the expiration date of the qualification letter, the child care provider shall complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). N. Morris’ criminal background qualification letter expired on March 9, 2025. The ABCMS system also confirmed the expiration. You shall apply for the criminal background check as well as fingerprinting immediately. Refer to G.S.110-90.2. 1757: Criminal background qualification letter in file Criminal background qualification shall be maintained in the staff file and available for review. Refer to G.S.110-90.2(b). You have fifteen (15) days to complete the criminal background check from today. If N. Morris does not have your criminal background qualification letter in your file by the morning of March 26, 2025, Ms. Morris cannot be present at the facility until the qualification letter is issued and filed. 844: Medication Prescribed medicine must be in original pharmacy labeled container. This is to ensure that the medication was prescribed to the right person. Nystatin is a prescription medication. You shall have the correct authorization form, and the cream shall be contained in its original box. Please return the medication to the parent or ask him/her to obtain the original box. Refer to 10A NCAC 09 .0803(2)(a). 807: Safe environment Indoor and outdoor environments shall be safe for children, free of hazards. Please remove all vinyl/plastic netting ground cover from playground for infants. The netting could be potential strangulation/chocking hazard. Refer to 10A NCC 09 .0601(a). 1043: Records All required records must be available for review. Staff members’ on-going training information was not listed on the Staff and Training Worksheet. Please fill out the missing information and re-submit the Staff and Training Worksheet on or before March 25, 2025. Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 428: Activity plans Activity plans shall be current and posted. Please update the activity plan for space #4. Refer to .0508(a). The activity plan for space #1 was posted during the visit. 1052: On-going training requirements Each staff member’s training period is based on his/her hiring date. If the previous training hours exceeded the required training hours, you can carry over a half of the staff member’s required training hours to current training period. The on-going training shall be approved by the Division in order to be counted. If you need to know the training you are completing is approved by the Division, please forward the name of the training as well as the name of the trainer to me at kaoru.eddins@dhhs.nc.gov. I will review the approved training chart and let you know. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: CPR/First Aid dates on Staff and Training Worksheet: Ms. Morris and I discussed CPR/First Aid dates on the worksheet. The date each staff member completed the CPR/First aid does not need to be listed on the worksheet but the expiration date of the training. Per Ms. Morris, those certifications that will expire in April are scheduled to renew the training on April, 13, 2025. Reminder: The authorization form for Up & Up maximum strength diaper rash cream in space #7 will expire on 3/25/25. ITS/SIDS training: G. Holloway is listed as a floater who goes to all classrooms on the Staff and Training Worksheet. If he/she works in the infant classroom, the staff member needs to complete ITS/SIDS training immediately. Make sure that at least one (1) staff member who is trained for ITS/SIDS, is present in the infant room at all times. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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 .0102 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .0601 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .0605 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .2818 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 38 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 207 Time In: 09:18 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nicole Morris, Administrator, during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Morris accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 7/12/24. Special Services/Restrictions – daytime care, meets enhanced ratios and space. Children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit has not been completed for this facility. The last fire drill was practiced on 7/18/24. The last shelter-in-place drill was practiced on 6/19/24. The last playground inspection was documented on 7/22/24. The last fire inspection was approved on 3/12/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is High Reach Learning. Upon arrival, I introduced myself and announced the purposed of the visit. In space #1, a group of two-to-three-year-old children transitioned from breakfast to group time. Some children had breakfast at the table, some children cleaned up, washed hands, used the bathroom, etc. The children had pancakes, apple sauce, and milk for breakfast. In space #2, a group of three-to-four-year-old children participated in group time. One (1) of the teachers lead the group and read children a book. Space #3 is used by the school-age children for after school program. No children were present during the visit. NC Pre-K classroom is operated in space #4. A group of seven (7) children, four (4) years of age, engaged in free play with train tracks, Playsticks, papers, scissors and housekeeping materials. In space #5, two (2) infant and one (1) teacher were present. One (1) child was sleeping in the crib and the other child was rocked by the teacher. Sleep check was conducted appropriately. In space #7, a group of five (5) children, one (1) year of age were present with one (1) teacher. The children explored environment and played with various materials. In space #9, a group of two-year-old children participated in group time. The teachers sang songs and used signs with the children. Space #6, #8 were not currently used due to staff shortage. No emergency medications are maintained at this facility. Interactions were positive. Three (3) playgrounds were monitored. On the toddler playground, the mulch was measured for five (5) inches. There were rust on the gate by the slide structure on school-age playground. Two (2) new staff files were monitored in full. 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 is not currently providing any transportation services. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool has not been completed for this school year. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The top bars on the gate by the slide structure on the school-age playground are rusted. .0601(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted on 7/18/24. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A bag of plastic cups were maintained on the shelf at approximately forty-two (42) inches in space #1. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was recorded on 7/22/24. .0605(q) 1030 Application for employment and date of birth was not on file for all staff. No application was in file for a staff member hired on 9/3/24. .0302(d)(1)(A) 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. No medical report was in file for a staff member hired on 9/3/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. No TB screen document was maintained in the file for a staff member hired on 9/3/24. .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. No emergency information form was in file for a staff member hired on 9/3/24. .0701(a) 1756 Enhanced staff/child ratios and group sizes were not met. During a group time in space #1 one (1) teacher stepped out of the classroom, entered space #2 to grab a book, leaving one (1) teacher with ten (10) children. Upon entering space #2, the door between space #1 and space #2 was closed. 10A NCAC 09 .2818 1848 The child care environment was not smoke and/or tobacco free. Upon arrival, I witnessed a parent getting off his/her/their car and smoked before getting his/her/their child out of the car. .0604(h) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the slide structure was measured for five (5) inches deep on the toddler playground. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. The acknowledgement of review of the policy was not maintained in the file for a staff member hired on 9/3/24. .0608(d)(1-4) Technical assistance was provided as follows: 705: Rust Rust shall be inaccessible to children. You can remove rust using rust removers and/or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 805: Fire Drill Fire drills shall be completed monthly. On typical occasions, alarm system shall be used. However, you may use other noise or verbal warning in case when the alarm system is not available or in the beginning of the school year when children are not quite comfortable with the setting. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). 858: Plastic Easily torn plastics, such as ziplock backs and plastic wrappers shall be inaccessible to the children under three (3) years of age. You can store those items above five (5) feet or in a locked storage. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 859: Playground Inspection Playground inspection shall be completed monthly. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 1030: employment application Employment application shall be maintained in the staff files. Personnel files can be maintained online as long as I have access to the documents. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; (B) documentation of education, training, and experience; (C) medical and health records; (D) documentation of staff orientation, participation in training, and staff development activities; and (E) required criminal history background check documentation; 1032: medical statement Medical statement shall be obtained prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Medical Report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. It is required for child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Medical statement is due prior to employment. When submitted, the medical statement shall not be older than 12 months. 1033: TB TB screening shall be conducted prior to first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening is the results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. It is required for all staff, including the director and individuals who volunteer more than once per week. TB screening is due on or before first day of work. 1035: Emergency information Emergency information shall be obtained on or prior to first day of employment. The information is important to contact the employees’ families upon emergency occasions. The form can be maintained online if staff members have access to them. Otherwise, it shall be printed and maintained at the facility. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. It shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1756: Staff/Child Ratios Staff/Child ratios is based on the youngest child in the group. It is important to know all ages of children in the classroom and follow routines that prevents opportunities to be out of ratio. When children are transitioning from one classroom to another, all staff members shall review the staff/child requirements to clearly understand the requirement. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. For enhanced ratio for two-year-old children is 1:9. 1848: Tobacco-free environment Child care centers including its property shall be tobacco free including vaping. Parents shall understand this policy upon enrollment and follow the requirement. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. 1867: Mulch For equipment more than eighteen (18) inches high, a minimum of six (6) inches of loose surfacing is required. We discussed that the request for mulch was submitted by Ms. Morris, but installment has not occurred. Please re-submit the request to install mulch on the playgrounds. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. 1874: Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy shall be reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information shall be maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual's name; (2) the date the center's policy was given and explained to the individual; (3) the individual's signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member's file. Achieving Compliance: A follow-up visit will be conducted to verify compliance of staff/child ratio. Depending on the compliance of this item, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: On the 2+ years playground, swings are not currently used. We discussed requirements for swings. Supervision during mealtime: Per supervision rule below, staff member shall be able to see and hear children during meal time to prevent chocking incidents. Teachers shall pay extra attention to the children while they are eating and minimize opportunities to engage in other activities, such as cleaning. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Shelter-in-place/lockdown drill is due this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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 .0510 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. Normaree Harris-Lee, Assistant Director, was also on-site and available to answer and ask questions while Ms. Harper left the facility for an appointment from approximately 9:30am through approximately 10:55am. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/23/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during free play, routine care, outdoor play, and lunch. The lunch today was chicken nuggets, sweet potatoes, corn, a biscuit, and milk. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility is approved for transportation. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There was one (1) new staff. Limited monitoring of existing staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 475 Sand and water play activities were not available weekly to each group. Outdoor space #1, the playground for children ages two through five years old, had a sandbox with an insufficient amount of sand to offer weekly sand play; the black fabric at the bottom of the sandbox was exposed. .0510(c)(3) 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. Nail glue and nail glue remover with multiple warnings were stored in an unlocked cabinet in space #9, the classroom with two year old children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, the classroom with three through five year old children, the Ventolin HFA inhaler for one (1) child was not in the original box with pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, the classroom with three through five year old children, a medication authorization form for a Ventolin HFA inhaler for one (1) child was not completed and signed by the parent to allow authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) Technical assistance for correction plan: Item #840 The teacher removed the nail glue and nail glue remover to locked storage during the visit. The violation was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #844 Prescribed medications must be stored in the original container with the pharmacy label. Item #847 Per staff reports, the inhaler has not been administered to the child. An asthma action form was on file that had a signature of a physician and no signature from the parent. The medication authorization form must be completed and signed by the parent. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Item #475 Kinetic sand was indoors and available for use by children. Kinetic sand does offer a sensory experience and does not qualify as sand for sand play. We discussed that sand for use by children needs to be ordered to refill the sandbox. 10A NCAC 09 .0510 ACTIVITY AREAS (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/30/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 95%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0803 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. Normaree Harris-Lee, Assistant Director, was also on-site and available to answer and ask questions while Ms. Harper left the facility for an appointment from approximately 9:30am through approximately 10:55am. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/23/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during free play, routine care, outdoor play, and lunch. The lunch today was chicken nuggets, sweet potatoes, corn, a biscuit, and milk. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility is approved for transportation. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There was one (1) new staff. Limited monitoring of existing staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 475 Sand and water play activities were not available weekly to each group. Outdoor space #1, the playground for children ages two through five years old, had a sandbox with an insufficient amount of sand to offer weekly sand play; the black fabric at the bottom of the sandbox was exposed. .0510(c)(3) 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. Nail glue and nail glue remover with multiple warnings were stored in an unlocked cabinet in space #9, the classroom with two year old children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, the classroom with three through five year old children, the Ventolin HFA inhaler for one (1) child was not in the original box with pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, the classroom with three through five year old children, a medication authorization form for a Ventolin HFA inhaler for one (1) child was not completed and signed by the parent to allow authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) Technical assistance for correction plan: Item #840 The teacher removed the nail glue and nail glue remover to locked storage during the visit. The violation was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #844 Prescribed medications must be stored in the original container with the pharmacy label. Item #847 Per staff reports, the inhaler has not been administered to the child. An asthma action form was on file that had a signature of a physician and no signature from the parent. The medication authorization form must be completed and signed by the parent. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Item #475 Kinetic sand was indoors and available for use by children. Kinetic sand does offer a sensory experience and does not qualify as sand for sand play. We discussed that sand for use by children needs to be ordered to refill the sandbox. 10A NCAC 09 .0510 ACTIVITY AREAS (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/30/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 95%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .2215 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. Normaree Harris-Lee, Assistant Director, was also on-site and available to answer and ask questions while Ms. Harper left the facility for an appointment from approximately 9:30am through approximately 10:55am. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/23/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during free play, routine care, outdoor play, and lunch. The lunch today was chicken nuggets, sweet potatoes, corn, a biscuit, and milk. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility is approved for transportation. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There was one (1) new staff. Limited monitoring of existing staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 475 Sand and water play activities were not available weekly to each group. Outdoor space #1, the playground for children ages two through five years old, had a sandbox with an insufficient amount of sand to offer weekly sand play; the black fabric at the bottom of the sandbox was exposed. .0510(c)(3) 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. Nail glue and nail glue remover with multiple warnings were stored in an unlocked cabinet in space #9, the classroom with two year old children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, the classroom with three through five year old children, the Ventolin HFA inhaler for one (1) child was not in the original box with pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, the classroom with three through five year old children, a medication authorization form for a Ventolin HFA inhaler for one (1) child was not completed and signed by the parent to allow authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) Technical assistance for correction plan: Item #840 The teacher removed the nail glue and nail glue remover to locked storage during the visit. The violation was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #844 Prescribed medications must be stored in the original container with the pharmacy label. Item #847 Per staff reports, the inhaler has not been administered to the child. An asthma action form was on file that had a signature of a physician and no signature from the parent. The medication authorization form must be completed and signed by the parent. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Item #475 Kinetic sand was indoors and available for use by children. Kinetic sand does offer a sensory experience and does not qualify as sand for sand play. We discussed that sand for use by children needs to be ordered to refill the sandbox. 10A NCAC 09 .0510 ACTIVITY AREAS (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/30/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 95%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 33 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:15 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the second temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. Normaree Harris-Lee, Assistant Director, was also on-site and available to answer and ask questions while Ms. Harper left the facility for an appointment from approximately 9:30am through approximately 10:55am. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 97 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 4/23/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 4/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during free play, routine care, outdoor play, and lunch. The lunch today was chicken nuggets, sweet potatoes, corn, a biscuit, and milk. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility is approved for transportation. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There was one (1) new staff. Limited monitoring of existing staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 1. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 475 Sand and water play activities were not available weekly to each group. Outdoor space #1, the playground for children ages two through five years old, had a sandbox with an insufficient amount of sand to offer weekly sand play; the black fabric at the bottom of the sandbox was exposed. .0510(c)(3) 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. Nail glue and nail glue remover with multiple warnings were stored in an unlocked cabinet in space #9, the classroom with two year old children. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #2, the classroom with three through five year old children, the Ventolin HFA inhaler for one (1) child was not in the original box with pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space #2, the classroom with three through five year old children, a medication authorization form for a Ventolin HFA inhaler for one (1) child was not completed and signed by the parent to allow authorization to administer the medication. 10A NCAC 09 .0803(4)(6-9) Technical assistance for correction plan: Item #840 The teacher removed the nail glue and nail glue remover to locked storage during the visit. The violation was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #844 Prescribed medications must be stored in the original container with the pharmacy label. Item #847 Per staff reports, the inhaler has not been administered to the child. An asthma action form was on file that had a signature of a physician and no signature from the parent. The medication authorization form must be completed and signed by the parent. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Item #475 Kinetic sand was indoors and available for use by children. Kinetic sand does offer a sensory experience and does not qualify as sand for sand play. We discussed that sand for use by children needs to be ordered to refill the sandbox. 10A NCAC 09 .0510 ACTIVITY AREAS (c) Each center shall provide materials and opportunities for each group of children at least weekly, indoors or outdoors, for the following: (1) music and rhythm; (2) science and nature; and (3) sand and water play. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 5/30/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 95%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Consultation: Reminder that the approved building inspection is required to be completed during the temporary time period. If the building inspection is not completed during the temporary time period, it may result in a denial of a license. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator's non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0605 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 33 Completed Date: 4/8/2024 Age: From 0 To 5 Total Minutes: 245 Time In: 08:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 146 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced 3/22/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 3/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during breakfast, routine care, free play, and small group activities. The breakfast today was a banana muffin, peaches, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation and transportation requirements were monitored during the visit. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There are 10 (10) staff. Ten (10) staff files were monitored. It was discovered that playground space #3 was not measured. The space was measured today during the visit and calculated to determine the following capacities: 24 children at 75 square feet per child; 18 children at 100 square feet per child The facility meets enhanced space and is required to meet 100 square feet of outdoor space per child using the space at anytime. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 2. It is optional to request a prep year assessment for the facility while on a temporary license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The ITS-SIDS training for the administrator expired on 1/5/24. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Playground space #2, for preschool and school-age children, had between two and four inches of mulch in the six foot fall zone instead of the required six inches. .0605(k)(1-4) Technical assistance for correction plan: ITS-SIDS Training Although the child care facility does not have any infants enrolled, the administrator is required to keep ITS-SIDS training valid and current since the facility is approved to serve infants. Ms. Harper stated she is already signed up for an ITS-SIDS training on 4/24/24. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Outdoor Surfacing The mulch must measure at least six inches in the six foot fall zone of the anchored climbing equipment. We discussed that mulch could be fluffed, raked, and/or replenished to allow for the minimum of six inches surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (j) All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 4/22/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. If you choose to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. It is recommended to contact Jon Williams, School-Age Coordinator for South Western Child Development Commission, Child Care Resource and Referral - Williams.Jon@swcdcinc.org. Consultation: The rated licenses from the previous ownership were collected today and will be returned to DCDEE in Raleigh. We discussed that the health and safety topic training Recognizing and Responding to Suspicions of Child Maltreatment, cannot be used as new staff orientation. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 33 Completed Date: 4/8/2024 Age: From 0 To 5 Total Minutes: 245 Time In: 08:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 146 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced 3/22/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 3/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during breakfast, routine care, free play, and small group activities. The breakfast today was a banana muffin, peaches, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation and transportation requirements were monitored during the visit. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There are 10 (10) staff. Ten (10) staff files were monitored. It was discovered that playground space #3 was not measured. The space was measured today during the visit and calculated to determine the following capacities: 24 children at 75 square feet per child; 18 children at 100 square feet per child The facility meets enhanced space and is required to meet 100 square feet of outdoor space per child using the space at anytime. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 2. It is optional to request a prep year assessment for the facility while on a temporary license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The ITS-SIDS training for the administrator expired on 1/5/24. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Playground space #2, for preschool and school-age children, had between two and four inches of mulch in the six foot fall zone instead of the required six inches. .0605(k)(1-4) Technical assistance for correction plan: ITS-SIDS Training Although the child care facility does not have any infants enrolled, the administrator is required to keep ITS-SIDS training valid and current since the facility is approved to serve infants. Ms. Harper stated she is already signed up for an ITS-SIDS training on 4/24/24. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Outdoor Surfacing The mulch must measure at least six inches in the six foot fall zone of the anchored climbing equipment. We discussed that mulch could be fluffed, raked, and/or replenished to allow for the minimum of six inches surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (j) All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 4/22/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. If you choose to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. It is recommended to contact Jon Williams, School-Age Coordinator for South Western Child Development Commission, Child Care Resource and Referral - Williams.Jon@swcdcinc.org. Consultation: The rated licenses from the previous ownership were collected today and will be returned to DCDEE in Raleigh. We discussed that the health and safety topic training Recognizing and Responding to Suspicions of Child Maltreatment, cannot be used as new staff orientation. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 33 Completed Date: 4/8/2024 Age: From 0 To 5 Total Minutes: 245 Time In: 08:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 146 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced 3/22/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 3/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during breakfast, routine care, free play, and small group activities. The breakfast today was a banana muffin, peaches, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation and transportation requirements were monitored during the visit. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There are 10 (10) staff. Ten (10) staff files were monitored. It was discovered that playground space #3 was not measured. The space was measured today during the visit and calculated to determine the following capacities: 24 children at 75 square feet per child; 18 children at 100 square feet per child The facility meets enhanced space and is required to meet 100 square feet of outdoor space per child using the space at anytime. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 2. It is optional to request a prep year assessment for the facility while on a temporary license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The ITS-SIDS training for the administrator expired on 1/5/24. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Playground space #2, for preschool and school-age children, had between two and four inches of mulch in the six foot fall zone instead of the required six inches. .0605(k)(1-4) Technical assistance for correction plan: ITS-SIDS Training Although the child care facility does not have any infants enrolled, the administrator is required to keep ITS-SIDS training valid and current since the facility is approved to serve infants. Ms. Harper stated she is already signed up for an ITS-SIDS training on 4/24/24. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Outdoor Surfacing The mulch must measure at least six inches in the six foot fall zone of the anchored climbing equipment. We discussed that mulch could be fluffed, raked, and/or replenished to allow for the minimum of six inches surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (j) All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 4/22/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. If you choose to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. It is recommended to contact Jon Williams, School-Age Coordinator for South Western Child Development Commission, Child Care Resource and Referral - Williams.Jon@swcdcinc.org. Consultation: The rated licenses from the previous ownership were collected today and will be returned to DCDEE in Raleigh. We discussed that the health and safety topic training Recognizing and Responding to Suspicions of Child Maltreatment, cannot be used as new staff orientation. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDCARE NETWORK #177 Facility ID: 11000950 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 33 Completed Date: 4/8/2024 Age: From 0 To 5 Total Minutes: 245 Time In: 08:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements during the first temporary time period visit. This facility is on a temporary license due to a change of ownership. Barbara Harper, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed and reviewed with you. The printed visit summary was signed and a copy left with you. Currently this center operates with a Temporary License, issued 3/1/24 and is effective through 9/1/24. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space, meets requirements for NC Pre-K, meets requirements for transportation; 146 children and ages 0-12 years. The Secretary of State website was reviewed today, and the company, Child Development Schools North Carolina, LLC, is listed as active-current. If any changes to the organization need to be made to the business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced 3/22/24. The last shelter-in-place drill was practiced 3/15/24. The last monthly playground inspection was documented on 3/22/24. The last sanitation inspection was conducted on 4/4/24 with six (6) demerits for as Superior classification. The last approved fire inspection was completed on 3/12/24. An approved building inspection must be completed during the temporary time period. The Emergency Preparedness Response (EPR) plan was completed on 3/25/24. Barbara Harper, Administrator, completed EPR training on 3/13/23. The emergency medical care (EMC) plan was posted. The incident log was in use. The children were observed during breakfast, routine care, free play, and small group activities. The breakfast today was a banana muffin, peaches, and milk as listed on the menu. The NC Pre-K program was monitored to meet the requirements below. SECTION .3000 NC PRE-KINDERGARTEN SERVICES This facility provides transportation and transportation requirements were monitored during the visit. Three (3) children files were monitored. One (1) NC Pre-K file was monitored. There are 10 (10) staff. Ten (10) staff files were monitored. It was discovered that playground space #3 was not measured. The space was measured today during the visit and calculated to determine the following capacities: 24 children at 75 square feet per child; 18 children at 100 square feet per child The facility meets enhanced space and is required to meet 100 square feet of outdoor space per child using the space at anytime. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating points and be included in the rated license cycle for the previous facility, Cohort 2. It is optional to request a prep year assessment for the facility while on a temporary license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The ITS-SIDS training for the administrator expired on 1/5/24. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Playground space #2, for preschool and school-age children, had between two and four inches of mulch in the six foot fall zone instead of the required six inches. .0605(k)(1-4) Technical assistance for correction plan: ITS-SIDS Training Although the child care facility does not have any infants enrolled, the administrator is required to keep ITS-SIDS training valid and current since the facility is approved to serve infants. Ms. Harper stated she is already signed up for an ITS-SIDS training on 4/24/24. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Outdoor Surfacing The mulch must measure at least six inches in the six foot fall zone of the anchored climbing equipment. We discussed that mulch could be fluffed, raked, and/or replenished to allow for the minimum of six inches surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (j) All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 4/22/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented is High Reach Learning. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. If you choose to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. It is recommended to contact Jon Williams, School-Age Coordinator for South Western Child Development Commission, Child Care Resource and Referral - Williams.Jon@swcdcinc.org. Consultation: The rated licenses from the previous ownership were collected today and will be returned to DCDEE in Raleigh. We discussed that the health and safety topic training Recognizing and Responding to Suspicions of Child Maltreatment, cannot be used as new staff orientation. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training 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 as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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