10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/3/2025 Number Present: 18 Completed Date: 10/3/2025 Age: From 0 To 2 Total Minutes: 150 Time In: 09:40 AM Time Out: 12:10 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, Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Kelly Pittman, Administrator. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percent 10/3/2025. Kelly Pittman, Administrator, was on-site and available to assist with questions. The program’s las annual compliance visit was conducted on 3/31/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training ITS-SIDS CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 9/13/2024. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for Head Start. The last fire drill was practiced on 9/30/2025. The last shelter in place drill was practiced on 6/27/2025. The next emergency drill was due on or before 9/30/2025. The last playground inspection was documented on 9/15/2025. The last fire inspection was approved on 6/4/2025. The last sanitation inspection was conducted on 9/25/2025 with five (5) demerits for a superior classification. Lead water testing was completed on 11/7/2023 without hazards. The next testing is due on or before 11/7/2026. Lead paint and asbestos testing was completed on 5/17/2024. The Emergency Medical Care plan was posted and current. The program does not provide transportation. Space #1A- The group of two-year-old children were engaged in outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. Space #1B- The group of infants were engaged in play on the floor. One (1) child was being held in the rocking chair by a staff member, and another child was having a routine diaper change. The staff were engaged with the children singing songs and reading a book. While monitoring, I observed that the safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. While reviewing checks from the last thirty (30) days, I noted that some days all visual checks were not documented. After indoor play, the group transitioned outdoors. When outdoor play concluded, the group transitioned indoors to wash hands. Space #2- The group of two-year-old children were engaged in free play with blocks, baby dolls, and scarves. One (1) staff member was engaged in block play while actively supervising the children and the other staff member was conducting a routine diaper change. Lunch today consisted of pizza, corn, oranges, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While reviewing program records, I monitored that an emergency drill was not conducted every three (3) months. The last emergency drill documented was 6/27/2025. The next emergency drill was due on or before 9/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. In space 1B, staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 871- Safe sleep policy was not followed. Staff members did not conduct visual checks at least every fifteen (15) minutes. One (1) child on 10/2/25 was documented asleep at 12:20p and visual check was not conducted till 12:40p. Another child on 10/2/25 was documented asleep at 12:35p and visual check was not conducted till 12:54p. Another child on 10/3/25 was documented asleep at 9:35a and visual check was not conducted till 9:58a. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. I recommend that the staff set a timer to assist with ensuring the visual checks are conducted and documented. Rule Reference: 10A NCAC 09 .0606 (a) Item 887- Space 1B the group of infant children, while reviewing safe sleep checks from the last thirty (30) days, I noted that on 9/4/25 all visual checks were not documented for one (1) child. The child was documented asleep at 11:25a and the next documented check was at 1:05p documenting the child was asleep. Then no additional checks were conducted. Another child visual checks were not documented on 9/15/25. The child was documented asleep at 12:30p and the next documented check was at 1:00p noting the child was asleep. We discussed that a fifteen (15) minute visual check should be conducted each day when the child is in attendance. The staff should document a fifteen (15) minute visual check while the child is asleep and when the child wakes up, the time should be documented along with noting whether the child was awake. Rule Reference: 10A NCAC 09 .0606 (g) Item 1811- The last documented emergency drill was conducted on 6/27/2025. The next drill was due by 9/30/2025. We discussed that emergency drills are to be conducted every three (3) months. I recommended the administrator pre-plan the drills for the remainder of the year to assist with preventing any reoccurrences. Rule Reference: 10A NCAC 09 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 10/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 4/1/2019 criminal background check qualifying letter will expire 12/4/2025. The staff member will need to start the process to renew their qualifying letter. QRIS- We discussed the at the facility participated in the prep assessment on 9/13/2024, and the license was reassessed on 9/13/2024. The facility has three (3) years until the facility license is reassessed. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to become familiar with each pathway. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 10 Completed Date: 4/23/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I was greeted by Kelly Pittman, Administrator. Ms. Pittman was accompanied during the visit. The program operates with a Four (4) Star Rated License, issued 6/8/2022. The permit restrictions were in compliance including first shift, meets enhanced ratios, and enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/19/2024. The last shelter-in-place drill was practiced on 4/18/2024. The last playground inspection was documented on 4/4/2024. The last fire inspection was approved on 7/5/2023. The last sanitation inspection was conducted on 2/19/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was current and updated on 3/7/2024. All medications were monitored and meet requirement The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 4/11/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action Inc., is current/active as of 4/11/2024. During today’s visit, I observed the children engaged in free play, staff meeting the individual needs of the children, outdoor gross motor play, and lunch. Space #1A is being used as office and storage space. Space #1B, the group of infant and one year old children were engaged in free play on the floor with the plastic farm animal, and staff were engaged in free play with the children singing and talking while supervising. The other staff was meeting the individual needs of one (1) infant who was ready for a bottle feeding. Staff interactions were positive and nurturing. While monitoring the indoor environment, I observed that the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. After free play, the children prepared to go outside for gross motor play. Once outside the children engaged in play in the sand digging and exploring the environment. After outdoor gross motor play the children and staff transitioned indoors to prepare for lunch. Space #2, the group of one- to two-year-old children were engaged in outdoor gross motor play with blocks, cars, trikes, and sand. One (1) child was brought into the classroom space for a diaper change. After the change, the child was brought back outside. When outdoor gross motor play concluded, the children and staff returned indoors to prepare for free play. During free play, the children engaged in play with finger painting, magnetic puzzles, and book. The staff were engaged with the children. One (1) staff member was checking a child’s temperature due to the child did not seem to feel good. The staff member made the administrator aware of the temperature of the child and the child’s temperature was low grade and continued to monitor the child’s symptoms and update the administrator of any changes. While monitoring the indoor space, I observed an unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. Lunch consisted of cheese pizza, corn, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 4/12/2024. Staff file concerns: One (1) staff member hired 11/14/2018 health and safety training topics five-year update was completed late. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I monitored two (2) children’s files and completed the Children’s Record form. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator posted the current activity plan during the visit. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. .2820(b) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy .0606(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. the original completion date was 12/4/2018 and the five year update was 4/11/2024. .1103(b) Technical assistance was provided as follows: Item #428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. - In space # 2, the current activity plan was not posted for the staff to reference. The activity plan posted was dated April 15- 19. The administrator corrected this during the visit by printing the current activity plan and posting in the classroom. I recommend having staff print and post the lesson plans on Friday prior to leaving for the week so that it is posted on Monday. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its 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, electronic or magnetic device, key, or equivalent locking device. These 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 product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The 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. - In space #2, one (1) unlocked cabinet with hazardous products in the cabinet. The key to unlock the cabinet was in the lock. The administrator corrected this during the visit by locking the cabinet and removing the key from the lock. I recommend putting a sign on the cabinet to say, “keep cabinet locked at all times.” Item #892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (b) The center shall post a copy of its safe sleep policy about infant safe sleep practices in a prominent place in the infant room where parents and caregivers are able to view daily. - In space #1B, the center safe sleep policy was not posted. The administrator corrected this during the visit by posting the center safe sleep policy. I recommend creating a checklist to monitor posted items to ensure that all required posted items are posted in the classroom. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - One (1) staff member hired 11/14/2018 health and safety training topics five-year update were completed late. The original completion date was 12/4/2018 and the five year update was completed 4/11/2024. When I asked the administrator about why the trainings were completed late, she stated that she was aware that they were late due to the administrator starting in September 2023 she missed getting the staff member to update them prior to going on leave till April 8, 2024. I recommend creating a training chart to note when each staff member’s trainings are due to be completed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/7/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Fire inspection is due by 7/5/2023. - Staff member hired 8/9/2023 qualifying letter will expire on 10/10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: WNCSOURCE FLAT ROCK CHILDREN'S CENTER Facility ID: 45000379 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2023 Number Present: 13 Completed Date: 11/14/2023 Age: From 0 To 2 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Kelly Pittman, Administrator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kelly Pittman, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Kelly Pittman, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted the administrator who was assisting in the infant room. In space #1B, the group of infant and one year old children were engaged in free play on the floor and the staff were meeting the individual needs of the children. After routine diaper changes and individual feedings, the group transitioned outside for outdoor play. In space #2, the group of one- to two-year-old children were outside engaged in gross motor play with trikes, balls, sand, and shovels. All caregiving interactions were positive and nurturing. All children went outside during the morning. Lunch today was sloppy joes, potato wedges, oranges, and milk. The last fire drill was practiced on 10/24/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 7/5/2023. The program’s most recent sanitation inspection was completed on 8/23/2023, with six (6) demerits. The Emergency Medical Care Plan is posted and was updated on 7/12/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is four (4) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. The administrator expressed her interest in increasing her stars. We discussed the need to look at education, program, and quality points. I stated that I would share the staff information sheet with her to complete for me to review staff education. The following violations of child care requirements were observed today: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. .0604(u);.0302(d)(8) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/28/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter-in-place or lockdown drill was not practiced and recorded every three (3) months. There was a lapse in drills from 3/20/2023 to 9/29/2023. I suggested preplanning the drills for the year and marking them on your calendar to ensure they are conducted every three (3) months. The administrator stated that she was aware of the lapse in drills due to not being the administrator at this site until September 2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Child and Family Resource Center for technical assistance to prepare. - The next facility visit will begin the rated license process. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times