G.S. 110-90 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: 1025-132L Visit Date: 10/16/2025 Number Present: 28 Completed Date: 10/16/2025 Age: From 3 To 5 Total Minutes: 35 Time In: 10:40 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received on October 9, 2025. During today’s visit, Natalie Brown, Principal, accompanied me during a walk-through of the facility. This program currently operates with a Five star rated license effective July 11, 2025. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 91 percent prior to today's visit. 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 being recommended per child care requirements. During the visit, I discussed the information with Natalie Brown, Principal, and one additional staff member. You reported twenty-eight children were in attendance during the visit. Limited monitoring of child care requirements occurred during today’s visit. You and staff interviewed stated that on September 8, 2025, a three-year-old child assigned to space #3, left the classroom unattended without staff knowledge at 11:53am. The Assistant Principal found the child in the hallway alone near the office at 11:56am, and the child was returned to space #3 at 12:03pm. Following the incident, you reviewed camera footage to confirm the timing of the events and noted that the classroom door was open when the child left the classroom and was still open when the child was returned to the classroom. You stated that you had individual meetings with both staff members and requested that the child’s parent be notified of the incident. You left messages for two administrative staff at Carver Head Start, and the NC Pre K contractor, to report the incident. I reviewed camera footage for September 8, 2025, and confirmed the timing of the supervision incident. Based on staff interviews, video footage, and documentation provided about the incident, the self-report regarding supervision was confirmed. The following violation was confirmed and cited during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On September 8, 2025 one child, three-years of age, was unsupervised and unattended in the hallway of the school from 11:53am-12:03pm. .1801(a)(1-5) The violations documented must be corrected immediately. On or before October 30, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when each violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to beth.archer@dhhs.nc.gov. Technical Assistance was provided on the following: Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. I suggested you review this rule with all staff members at this time, and annually at a staff meeting, that you implement a head count checklist to ensure all children are accounted for throughout the day and keep the classroom door closed and add a bell to the door to alert staff when the door is opened. All staff members should be aware of the number of children they are responsible for at all times. Additionally, I suggested you remind staff to be extra cautious during transitions to ensure all children are accounted for and complete a head count before, during and after transitions. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant PO Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov 828-748-7893 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 .0802 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 33 Completed Date: 10/8/2025 Age: From 3 To 5 Total Minutes: 340 Time In: 10:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Natalie Brown, Administrator. This program currently operates with a Five star rated license effective July 11, 2025. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 97 percent prior to today’s visit. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children and staff were participating in gross motor play both indoors and outdoors, lunch, nap, group story time, lunch and rest. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EMCP, Playground Safety, and Special Training. The last monthly fire drill was practiced on September 12, 2025. The last lockdown drill was practiced on September 9, 2025. The last monthly playground inspection was completed on October 6, 2025. The most recent approved fire inspection for your facility was conducted on July 2, 2025. The most recent sanitation inspection for your facility was conducted on April 10, 2025. A superior sanitation classification was issued with 4 demerits noted on the grade card. The Environmental Health Specialist came during today's visit for an inspection. The most recent lead water test results were completed on January 29, 2025 Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The following violation(s) were observed today: Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was no written emergency medication care plan on file. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 11/14/24 had First Aid certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 11/14/24 had CPR certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of CPR certification on file. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In space #3, three 3 year old children, nine 4 year old children, and four 5 year old children were cared for by one staff member for ten minutes. 10A NCAC 09 .2818 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, one child 4 years of age with allergies did not have a medical action plan on file available for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 4/9/24, did not have a signed acknowledgement of review of the shaken baby syndrome and abusive head trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 7/7/25 and one staff member employed 4/9/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) The violation(s) documented must be corrected immediately. On or before October 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced ratios and space. I suggested you create a schedule to ensure staff are able to take needed breaks while staff/child ratios are met. I also suggested that family advocate staff assist in classrooms when needed to ensure staff/child ratios are met. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you keep this acknowledgement in the facility’s monitoring notebook for all staff members including substitute staff. All staff members must maintain active CPR/First Aid certification. Verification of certifications must be available for review. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review this form and complete all required information on the form based on the facility’s emergency preparedness plan. I reminded you that you should only assign tasks listed on the form to staff members who are able to and agree to perform tasks to which they are assigned. I also suggested you review required postings regularly to ensure the information is kept current and that nothing has fallen off the wall or been misplaced. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. Verfication of completed training must be on file for review. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation or other topics discussed today: We discussed that one substitute staff member has a criminal background check that expires on 10/9/25. As a reminder, only staff with a valid qualifying letter may provide care for children. We also discussed that the classroom smart board with visual moving scenes should not be used to provide music during rest time. Provide music without using the screen portion of the device. The QRIS conversation template was completed today. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We reviewed your ABCMS provider portal facility roster. All current employees are listed on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .2818 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 33 Completed Date: 10/8/2025 Age: From 3 To 5 Total Minutes: 340 Time In: 10:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Natalie Brown, Administrator. This program currently operates with a Five star rated license effective July 11, 2025. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 97 percent prior to today’s visit. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children and staff were participating in gross motor play both indoors and outdoors, lunch, nap, group story time, lunch and rest. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EMCP, Playground Safety, and Special Training. The last monthly fire drill was practiced on September 12, 2025. The last lockdown drill was practiced on September 9, 2025. The last monthly playground inspection was completed on October 6, 2025. The most recent approved fire inspection for your facility was conducted on July 2, 2025. The most recent sanitation inspection for your facility was conducted on April 10, 2025. A superior sanitation classification was issued with 4 demerits noted on the grade card. The Environmental Health Specialist came during today's visit for an inspection. The most recent lead water test results were completed on January 29, 2025 Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The following violation(s) were observed today: Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was no written emergency medication care plan on file. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 11/14/24 had First Aid certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 11/14/24 had CPR certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of CPR certification on file. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In space #3, three 3 year old children, nine 4 year old children, and four 5 year old children were cared for by one staff member for ten minutes. 10A NCAC 09 .2818 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, one child 4 years of age with allergies did not have a medical action plan on file available for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 4/9/24, did not have a signed acknowledgement of review of the shaken baby syndrome and abusive head trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 7/7/25 and one staff member employed 4/9/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) The violation(s) documented must be corrected immediately. On or before October 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced ratios and space. I suggested you create a schedule to ensure staff are able to take needed breaks while staff/child ratios are met. I also suggested that family advocate staff assist in classrooms when needed to ensure staff/child ratios are met. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you keep this acknowledgement in the facility’s monitoring notebook for all staff members including substitute staff. All staff members must maintain active CPR/First Aid certification. Verification of certifications must be available for review. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review this form and complete all required information on the form based on the facility’s emergency preparedness plan. I reminded you that you should only assign tasks listed on the form to staff members who are able to and agree to perform tasks to which they are assigned. I also suggested you review required postings regularly to ensure the information is kept current and that nothing has fallen off the wall or been misplaced. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. Verfication of completed training must be on file for review. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation or other topics discussed today: We discussed that one substitute staff member has a criminal background check that expires on 10/9/25. As a reminder, only staff with a valid qualifying letter may provide care for children. We also discussed that the classroom smart board with visual moving scenes should not be used to provide music during rest time. Provide music without using the screen portion of the device. The QRIS conversation template was completed today. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We reviewed your ABCMS provider portal facility roster. All current employees are listed on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 33 Completed Date: 10/8/2025 Age: From 3 To 5 Total Minutes: 340 Time In: 10:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Natalie Brown, Administrator. This program currently operates with a Five star rated license effective July 11, 2025. The permit restrictions include 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 97 percent prior to today’s visit. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children and staff were participating in gross motor play both indoors and outdoors, lunch, nap, group story time, lunch and rest. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EMCP, Playground Safety, and Special Training. The last monthly fire drill was practiced on September 12, 2025. The last lockdown drill was practiced on September 9, 2025. The last monthly playground inspection was completed on October 6, 2025. The most recent approved fire inspection for your facility was conducted on July 2, 2025. The most recent sanitation inspection for your facility was conducted on April 10, 2025. A superior sanitation classification was issued with 4 demerits noted on the grade card. The Environmental Health Specialist came during today's visit for an inspection. The most recent lead water test results were completed on January 29, 2025 Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The following violation(s) were observed today: Violation Number Comment Rule 832 There was no written emergency medical care (EMC) plan. There was no written emergency medication care plan on file. 10A NCAC 09 .0802(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 11/14/24 had First Aid certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 11/14/24 had CPR certification that expired 6/2025 and lapsed until 8/5/2025 when new certification was completed. One staff member employed 4/9/24 did not have verification of CPR certification on file. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. In space #3, three 3 year old children, nine 4 year old children, and four 5 year old children were cared for by one staff member for ten minutes. 10A NCAC 09 .2818 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, one child 4 years of age with allergies did not have a medical action plan on file available for review. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 4/9/24, did not have a signed acknowledgement of review of the shaken baby syndrome and abusive head trauma policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed 7/7/25 and one staff member employed 4/9/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) The violation(s) documented must be corrected immediately. On or before October 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced ratios and space. I suggested you create a schedule to ensure staff are able to take needed breaks while staff/child ratios are met. I also suggested that family advocate staff assist in classrooms when needed to ensure staff/child ratios are met. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan must be attached to the application. The medical action plan is to be completed by the child's parent or a health care professional and may include the following: a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan is to be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. I reminded you that a medication for a chronic illness should not be accepted by the facility without an accompanying medical action plan. I suggested you have parents bring all new emergency medications into the office to be reviewed to ensure all information is accurate and complete prior to taking them to the classrooms. In addition to attaching a copy of the medical action plan to the child’s application, I also suggested you keep a copy of the medical action plans with the medications to ensure the correct response and care is given to any emergent situations. I suggested you review all medical action plans for children diagnosed with chronic illnesses at least once every six (6) months to ensure information on the medical action plan is current and accurate. I suggested you have the parents of each child with a medical action plan on file review this information each time a permission to administer medication form is submitted (every six months). All staff members who care for children up to five (5) years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you keep this acknowledgement in the facility’s monitoring notebook for all staff members including substitute staff. All staff members must maintain active CPR/First Aid certification. Verification of certifications must be available for review. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information is to be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. I suggested you review this form and complete all required information on the form based on the facility’s emergency preparedness plan. I reminded you that you should only assign tasks listed on the form to staff members who are able to and agree to perform tasks to which they are assigned. I also suggested you review required postings regularly to ensure the information is kept current and that nothing has fallen off the wall or been misplaced. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/. Verfication of completed training must be on file for review. I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation or other topics discussed today: We discussed that one substitute staff member has a criminal background check that expires on 10/9/25. As a reminder, only staff with a valid qualifying letter may provide care for children. We also discussed that the classroom smart board with visual moving scenes should not be used to provide music during rest time. Provide music without using the screen portion of the device. The QRIS conversation template was completed today. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We reviewed your ABCMS provider portal facility roster. All current employees are listed on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .1803 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 34 Completed Date: 12/12/2024 Age: From 3 To 5 Total Minutes: 179 Time In: 09:01 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 unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher Your program currently operates with a five star license effective March 5, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity areas, indoor gross motor activities, and lunch. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 86% as of December 12, 2024. 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. Three new staff have been hired since the annual compliance visit on May 22, 2024. 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. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You reported that the school system has assigned this task to a maintenance staff member, who is working toward compliance for this requirement. The most recent sanitation inspection for your facility was conducted on October 17, 2024. A supervisor sanitation classification was issued with two demerits. The most recent fire inspection for your facility was conducted on June 7, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 904 Child was handled roughly. In space #2, a staff member was observed moving a child roughly forward causing the child to stumble and begin to cry. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. E. Taylor did not have a completed a Criminal Background Check prior to working with children in care. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for E. Taylor. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before December 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Criminal Background Checks: Criminal Background Checks must be completed prior to .employment and a valid qualification letter be on file for review. G.S. 110-90.2(b)(d);10A NCAC 09 .2703(e ) We discussed that any adult who is left alone with a child must have a DCDEE CBC qualification and current letter on file. I reminded you that school employees may not work in the preschool classrooms until a valid DCDEE CBC qualification letter is on file. This requirement includes substitute staff. During the visit, the substitute without an approved qualification letter left the classroom and was replaced by another staff member in the school, who has a current CBC qualification letter. Discipline: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking We discussed the requirements in 10A NCAC 09.1803(a)(1) regarding handling children roughly. I encouraged you to notify administration when you are in need of a break to prevent frustration that may impact your interactions with children. I spoke with the program’s administrator regarding opportunities for training staff regarding discipline, interactions and classroom management. Consultation or other topics discussed today: We discussed that a follow up visit will be made. We discussed that program records must be available for review. When program records are kept outside of the classroom, staff should be able to easily access the needed information. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints at the completion of the visit, a hand written visit summary was reviewed and a copy was given to you. A computer generated visit summary was emailed to the program on December 13, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .2703 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 34 Completed Date: 12/12/2024 Age: From 3 To 5 Total Minutes: 179 Time In: 09:01 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 unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher Your program currently operates with a five star license effective March 5, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity areas, indoor gross motor activities, and lunch. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 86% as of December 12, 2024. 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. Three new staff have been hired since the annual compliance visit on May 22, 2024. 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. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You reported that the school system has assigned this task to a maintenance staff member, who is working toward compliance for this requirement. The most recent sanitation inspection for your facility was conducted on October 17, 2024. A supervisor sanitation classification was issued with two demerits. The most recent fire inspection for your facility was conducted on June 7, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 904 Child was handled roughly. In space #2, a staff member was observed moving a child roughly forward causing the child to stumble and begin to cry. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. E. Taylor did not have a completed a Criminal Background Check prior to working with children in care. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for E. Taylor. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before December 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Criminal Background Checks: Criminal Background Checks must be completed prior to .employment and a valid qualification letter be on file for review. G.S. 110-90.2(b)(d);10A NCAC 09 .2703(e ) We discussed that any adult who is left alone with a child must have a DCDEE CBC qualification and current letter on file. I reminded you that school employees may not work in the preschool classrooms until a valid DCDEE CBC qualification letter is on file. This requirement includes substitute staff. During the visit, the substitute without an approved qualification letter left the classroom and was replaced by another staff member in the school, who has a current CBC qualification letter. Discipline: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking We discussed the requirements in 10A NCAC 09.1803(a)(1) regarding handling children roughly. I encouraged you to notify administration when you are in need of a break to prevent frustration that may impact your interactions with children. I spoke with the program’s administrator regarding opportunities for training staff regarding discipline, interactions and classroom management. Consultation or other topics discussed today: We discussed that a follow up visit will be made. We discussed that program records must be available for review. When program records are kept outside of the classroom, staff should be able to easily access the needed information. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints at the completion of the visit, a hand written visit summary was reviewed and a copy was given to you. A computer generated visit summary was emailed to the program on December 13, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 09.1803 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 34 Completed Date: 12/12/2024 Age: From 3 To 5 Total Minutes: 179 Time In: 09:01 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 unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher Your program currently operates with a five star license effective March 5, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity areas, indoor gross motor activities, and lunch. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 86% as of December 12, 2024. 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. Three new staff have been hired since the annual compliance visit on May 22, 2024. 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. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You reported that the school system has assigned this task to a maintenance staff member, who is working toward compliance for this requirement. The most recent sanitation inspection for your facility was conducted on October 17, 2024. A supervisor sanitation classification was issued with two demerits. The most recent fire inspection for your facility was conducted on June 7, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 904 Child was handled roughly. In space #2, a staff member was observed moving a child roughly forward causing the child to stumble and begin to cry. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. E. Taylor did not have a completed a Criminal Background Check prior to working with children in care. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for E. Taylor. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before December 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Criminal Background Checks: Criminal Background Checks must be completed prior to .employment and a valid qualification letter be on file for review. G.S. 110-90.2(b)(d);10A NCAC 09 .2703(e ) We discussed that any adult who is left alone with a child must have a DCDEE CBC qualification and current letter on file. I reminded you that school employees may not work in the preschool classrooms until a valid DCDEE CBC qualification letter is on file. This requirement includes substitute staff. During the visit, the substitute without an approved qualification letter left the classroom and was replaced by another staff member in the school, who has a current CBC qualification letter. Discipline: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking We discussed the requirements in 10A NCAC 09.1803(a)(1) regarding handling children roughly. I encouraged you to notify administration when you are in need of a break to prevent frustration that may impact your interactions with children. I spoke with the program’s administrator regarding opportunities for training staff regarding discipline, interactions and classroom management. Consultation or other topics discussed today: We discussed that a follow up visit will be made. We discussed that program records must be available for review. When program records are kept outside of the classroom, staff should be able to easily access the needed information. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints at the completion of the visit, a hand written visit summary was reviewed and a copy was given to you. A computer generated visit summary was emailed to the program on December 13, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 34 Completed Date: 12/12/2024 Age: From 3 To 5 Total Minutes: 179 Time In: 09:01 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 unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher Your program currently operates with a five star license effective March 5, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity areas, indoor gross motor activities, and lunch. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 86% as of December 12, 2024. 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. Three new staff have been hired since the annual compliance visit on May 22, 2024. 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. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You reported that the school system has assigned this task to a maintenance staff member, who is working toward compliance for this requirement. The most recent sanitation inspection for your facility was conducted on October 17, 2024. A supervisor sanitation classification was issued with two demerits. The most recent fire inspection for your facility was conducted on June 7, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 904 Child was handled roughly. In space #2, a staff member was observed moving a child roughly forward causing the child to stumble and begin to cry. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. E. Taylor did not have a completed a Criminal Background Check prior to working with children in care. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for E. Taylor. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before December 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Criminal Background Checks: Criminal Background Checks must be completed prior to .employment and a valid qualification letter be on file for review. G.S. 110-90.2(b)(d);10A NCAC 09 .2703(e ) We discussed that any adult who is left alone with a child must have a DCDEE CBC qualification and current letter on file. I reminded you that school employees may not work in the preschool classrooms until a valid DCDEE CBC qualification letter is on file. This requirement includes substitute staff. During the visit, the substitute without an approved qualification letter left the classroom and was replaced by another staff member in the school, who has a current CBC qualification letter. Discipline: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking We discussed the requirements in 10A NCAC 09.1803(a)(1) regarding handling children roughly. I encouraged you to notify administration when you are in need of a break to prevent frustration that may impact your interactions with children. I spoke with the program’s administrator regarding opportunities for training staff regarding discipline, interactions and classroom management. Consultation or other topics discussed today: We discussed that a follow up visit will be made. We discussed that program records must be available for review. When program records are kept outside of the classroom, staff should be able to easily access the needed information. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints at the completion of the visit, a hand written visit summary was reviewed and a copy was given to you. A computer generated visit summary was emailed to the program on December 13, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 12/12/2024 Number Present: 34 Completed Date: 12/12/2024 Age: From 3 To 5 Total Minutes: 179 Time In: 09:01 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 unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher Your program currently operates with a five star license effective March 5, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in group story time, free play in activity areas, indoor gross motor activities, and lunch. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 86% as of December 12, 2024. 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. Three new staff have been hired since the annual compliance visit on May 22, 2024. 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. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You reported that the school system has assigned this task to a maintenance staff member, who is working toward compliance for this requirement. The most recent sanitation inspection for your facility was conducted on October 17, 2024. A supervisor sanitation classification was issued with two demerits. The most recent fire inspection for your facility was conducted on June 7, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 904 Child was handled roughly. In space #2, a staff member was observed moving a child roughly forward causing the child to stumble and begin to cry. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. E. Taylor did not have a completed a Criminal Background Check prior to working with children in care. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for E. Taylor. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before December 26, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Criminal Background Checks: Criminal Background Checks must be completed prior to .employment and a valid qualification letter be on file for review. G.S. 110-90.2(b)(d);10A NCAC 09 .2703(e ) We discussed that any adult who is left alone with a child must have a DCDEE CBC qualification and current letter on file. I reminded you that school employees may not work in the preschool classrooms until a valid DCDEE CBC qualification letter is on file. This requirement includes substitute staff. During the visit, the substitute without an approved qualification letter left the classroom and was replaced by another staff member in the school, who has a current CBC qualification letter. Discipline: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking We discussed the requirements in 10A NCAC 09.1803(a)(1) regarding handling children roughly. I encouraged you to notify administration when you are in need of a break to prevent frustration that may impact your interactions with children. I spoke with the program’s administrator regarding opportunities for training staff regarding discipline, interactions and classroom management. Consultation or other topics discussed today: We discussed that a follow up visit will be made. We discussed that program records must be available for review. When program records are kept outside of the classroom, staff should be able to easily access the needed information. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Due to time constraints at the completion of the visit, a hand written visit summary was reviewed and a copy was given to you. A computer generated visit summary was emailed to the program on December 13, 2024. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .0302 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. A second annual compliance visit is being conducted due to the change in the 2024-2025 school calendar that will not allow for the next annual compliance visit to be completed before becoming delinquent. You, Angela Horton, teacher's assistant, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children were participating in outdoor gross motor time, play in activity areas, handwashing protocols and lunchtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 85% prior to today’s visit. 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. A sample of four children’s files were reviewed. One new substitute staff member’s file was reviewed. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 5/17/24. The last monthly playground inspection was completed on 4/26/24. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You will need lead water testing completed by September 1, 2024. The most recent sanitation inspection for your facility was conducted on April 22, 2024. A superior sanitation classification was issued with three demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation was observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 5/2/24 one child in space #2 was not signed out of care. On 5/22/24, one child in space #1 and one child in space #2 were not signed out of care. 10A NCAC 09 .0302(d)(4) Comments Section: The violation(s) documented must be corrected immediately. On or before June 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #125 A specific time of arrival and departure must be recorded for each child. We discussed that all children, including children who ride the school bus, must have a specific time listed that they are signed out of care. 10A NCAC 09 .0302(d)(4) Consultation or other topics discussed today: Per 10A NCAC 09.0304, 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. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09.0304 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. A second annual compliance visit is being conducted due to the change in the 2024-2025 school calendar that will not allow for the next annual compliance visit to be completed before becoming delinquent. You, Angela Horton, teacher's assistant, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children were participating in outdoor gross motor time, play in activity areas, handwashing protocols and lunchtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 85% prior to today’s visit. 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. A sample of four children’s files were reviewed. One new substitute staff member’s file was reviewed. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 5/17/24. The last monthly playground inspection was completed on 4/26/24. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You will need lead water testing completed by September 1, 2024. The most recent sanitation inspection for your facility was conducted on April 22, 2024. A superior sanitation classification was issued with three demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation was observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 5/2/24 one child in space #2 was not signed out of care. On 5/22/24, one child in space #1 and one child in space #2 were not signed out of care. 10A NCAC 09 .0302(d)(4) Comments Section: The violation(s) documented must be corrected immediately. On or before June 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #125 A specific time of arrival and departure must be recorded for each child. We discussed that all children, including children who ride the school bus, must have a specific time listed that they are signed out of care. 10A NCAC 09 .0302(d)(4) Consultation or other topics discussed today: Per 10A NCAC 09.0304, 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. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 09:30 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. A second annual compliance visit is being conducted due to the change in the 2024-2025 school calendar that will not allow for the next annual compliance visit to be completed before becoming delinquent. You, Angela Horton, teacher's assistant, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children were participating in outdoor gross motor time, play in activity areas, handwashing protocols and lunchtime. The caregivers were interacting and responsive to the children’s needs in a nurturing manner. The center's compliance history was at 85% prior to today’s visit. 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. A sample of four children’s files were reviewed. One new substitute staff member’s file was reviewed. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 5/17/24. The last monthly playground inspection was completed on 4/26/24. The most recent lead water testing results were completed on September 1, 2021. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. You will need lead water testing completed by September 1, 2024. The most recent sanitation inspection for your facility was conducted on April 22, 2024. A superior sanitation classification was issued with three demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation was observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 5/2/24 one child in space #2 was not signed out of care. On 5/22/24, one child in space #1 and one child in space #2 were not signed out of care. 10A NCAC 09 .0302(d)(4) Comments Section: The violation(s) documented must be corrected immediately. On or before June 5, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Item #125 A specific time of arrival and departure must be recorded for each child. We discussed that all children, including children who ride the school bus, must have a specific time listed that they are signed out of care. 10A NCAC 09 .0302(d)(4) Consultation or other topics discussed today: Per 10A NCAC 09.0304, 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. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0802 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/26/2024 Number Present: 28 Completed Date: 1/26/2024 Age: From 3 To 5 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time and rest time, The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 90 percent as of January 23, 2024. 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. Four staff members are new to this facility since the annual compliance visit on July 31, 2023. 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. The most recent sanitation inspection for your facility was conducted on August 1, 2023. A supervisor sanitation classification was issued with five demerits. The most recent fire inspection for your facility was conducted on June 23, 2022. The facility was approved for day time. The following violation(s) were observed today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was 7/28/23. .0604(t); .0302(d)(5) 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. One bottle of Advil Liquid Gels were in a bag in an unlocked cabinet. .2820(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. In space #1 and space #2, the Emergency Medical Care Plan had the person or the alternate person responsible for carrying out the emergency medical care plan as staff that are no longer employed by the facility. .0802(b)(1-2) The violation(s) documented must be corrected immediately. On or before February 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fire Drills: We discussed that monthly fire drills must be completed monthly and documented as required. Childcare Requirement .0604 (t) .0302(d)(5) The facility has the form supplied on DCDEE’s website but no information has been recorded since 7/28/23. You reported that fire drills are completed with the entire school monthly, but staff was there was unaware that any information needed to be recorded. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of Advil Liquid gels was moved into locked storage. This violation was corrected during the visit. Emergency Medical Care Plan: The person identified as the person or alternate person responsible for carrying out the emergency medical care plan must be on premises at all times. 10A NCAC 09.0802(b)(1-2). The care plan must be updated whenever there are staff changes and new employees are responsible for carrying out emergency medical care. You reported that the care plans will be updated to reflect new staff members. Consultation or other topics discussed today (the following items reviewed were in compliance today): Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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.

NC GS 110-90 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/26/2024 Number Present: 28 Completed Date: 1/26/2024 Age: From 3 To 5 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Gina Flores, Lead Teacher. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor gross motor time and rest time, The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 90 percent as of January 23, 2024. 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. Four staff members are new to this facility since the annual compliance visit on July 31, 2023. 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. The most recent sanitation inspection for your facility was conducted on August 1, 2023. A supervisor sanitation classification was issued with five demerits. The most recent fire inspection for your facility was conducted on June 23, 2022. The facility was approved for day time. The following violation(s) were observed today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was 7/28/23. .0604(t); .0302(d)(5) 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. One bottle of Advil Liquid Gels were in a bag in an unlocked cabinet. .2820(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. In space #1 and space #2, the Emergency Medical Care Plan had the person or the alternate person responsible for carrying out the emergency medical care plan as staff that are no longer employed by the facility. .0802(b)(1-2) The violation(s) documented must be corrected immediately. On or before February 9, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Fire Drills: We discussed that monthly fire drills must be completed monthly and documented as required. Childcare Requirement .0604 (t) .0302(d)(5) The facility has the form supplied on DCDEE’s website but no information has been recorded since 7/28/23. You reported that fire drills are completed with the entire school monthly, but staff was there was unaware that any information needed to be recorded. Hazardous Products: All hazardous items with multiple warnings must be kept in locked storage, including all aerosol products. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have teachers check the labels on all items to assure they are properly stored. 15A NCAC 18A .2820(b). The bottle of Advil Liquid gels was moved into locked storage. This violation was corrected during the visit. Emergency Medical Care Plan: The person identified as the person or alternate person responsible for carrying out the emergency medical care plan must be on premises at all times. 10A NCAC 09.0802(b)(1-2). The care plan must be updated whenever there are staff changes and new employees are responsible for carrying out emergency medical care. You reported that the care plans will be updated to reflect new staff members. Consultation or other topics discussed today (the following items reviewed were in compliance today): Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0508 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0514 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0801 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0802 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0803 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0901 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .1003 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .1804 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 110-102 · Violation

Name of Operation: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: FOREST CITY-DUNBAR PRESCHOOL Facility ID: 81000278 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/31/2023 Number Present: 31 Completed Date: 7/31/2023 Age: From 3 To 4 Total Minutes: 260 Time In: 09:07 AM Time Out: 01:27 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Dawn Moore, Lead Teacher substitute. Your program currently operates with a five star license effective February 19, 2019. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space and enhanced ratios by one in each group. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, lunch time and rest time. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 100 percent as of July 24, 2023. 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. Four staff files were reviewed, with three new staff files. Four of thirty-three children’s records were reviewed. The most recent sanitation inspection for your facility was conducted on April 5, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on June 13, 2023. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. In Space #2, two children, both enrolled 7/20/23, did not have a NC summary of the law acknowledgement on file. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, three children were not signed out on 7/25/23. Two children were not signed out on 7/26/23. One child was not signed out on 7/27/23. One child was not signed out on 7/28/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Space #1, no current active plan was posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. No menus were posted in either Space #1 or Space #2. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #1, one outlet of a surge protector, accessible to children, was not covered with a safety plug. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In Space #1, one bottle of Cetaphil facial cleanser did not have a permission for use with required information on file. 10A NCAC 09 .0803(4)(6-9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One substitute, employed 12/12/22, had not completed CPR training. .1102(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. In Space #2, one child enrolled 7/20/23, who rides school transportation, did not have transportation permission on file. .1003(i)(j) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. In Space #2, one child enrolled 7/20/23, did not have a receipt of operational policies on file. 10A NCAC 09 .0514(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. In Space #2, two children enrolled 7/20/23, did not have emergency medical care information on file. .0802(c) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In Space #2, one child enrolled 7/20/23, did not have a discipline policy acknowledgement on file. .1804(c) 1329 Application for enrollment did not include all required information. In Space #2, two children enrolled 7/20/23, did not have information on file related to the child’s fears and/or behaviors. .0801(a)(1-7) 1757 A valid qualification letter was not on file and available to review at the facility. One substitute, M. Turner, did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. In Space #2, two children enrolled 7/20/23, did not have a signed shaken baby/abusive head trauma policy with required information. .0608(b)(1-6) The violation(s) documented must be corrected immediately. On or before August 14, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Technical assistance on violations was reviewed with you. Areas discussed included: Arrival and Departure: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. This includes the time that children are received or released to/from the bus. 10A NCAC 09 .0302(d)(4) Outlets covered: Remember to check electrical outlets and power strips not in use to ensure they covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Keep extra safety plugs in the classrooms so that unused outlets can be covered if a plug is removed. 10A NCAC 09 .0604(c) Menu posted: I reviewed requirements for posting the menu in the front of the center where parents can view. The menu must have a current date including the month, day, and year. 10A NCAC 09 .0901(b) Activity Plans: Currently activity plans must be posted. You may consider posting the activity plan on Friday at the end of the day for the next week 10A NCAC 09 .0508(a). Medication Permission: A medication authorization must include) (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid. 10A NCAC 09 .0803(4)(6-9) You plan to send the authorization home today with the child to be completed by the parent and returned. Summary of the Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. Transportation permission: Children must have parental written permission on file before being transported. 10A NCAC 09 .1003(i)(j) Receipt of Operational Policy: Operational policies must be discussed with parents on or before the child’s first day. 10A NCAC 09 .0514(b) Emergency Information on File: Emergency medical care information must be on file on the child’s first day of attendance. 10A NCAC 09 .0802(c) You reported that some of the children’s file information is handled by the family advocate. The program’s family advocate has left the position and currently no one is handling those responsibilities. I encouraged you to consider keeping all emergency information in the classroom in case of need for the child. Discipline Policy: Parents must sign and date a statement that the discipline policy was received and explained at enrollment. This signed statement must be kept the child’s file as verification. 10A NCAC 09 .1804(c) You shared that this information is typically signed during an orientation time or before the beginning of school. Application-required information: An application for enrollment must include all the required information found in 10A NCAC 09 .0801(a)(1-7). We discussed possible use of the sample application on the DCDEE website in order to assure that all required information was included. Shaken Baby/Abusive Head Trauma Policy: Each child’s file must have a statement with parent signature acknowledging receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. Acknowledgement must include all required information noted in 10A NCAC 09 .0608 (b)(1-6) We discussed that the required information must be added to the acknowledgement form that parent’s sign. Qualification Letter: A valid qualification letter must be on file and available for review at the facility.G.S. 110-90.2(b) & (d) & .2703(e) I verified via the ABCMS system that M. Turner has a valid qualifying letter. CPR/First Aid Training: All staff must complete a certification in CPR training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). We discussed that CPR/First Aid training is required for all staff and must be completed within 90 days of employment. Consultation or other topics discussed today (the following items reviewed were in compliance today): We reviewed the requirements for a screen time logs. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, a handwritten visit summary was completed, due to connectivity issues.TThe hand written visit summary was reviewed with you at the end of the visit. A computer generated visit summary was completed and emailed to you on 8/1/23. The hand written visit summary reflected violations #1314, #1316 and #1317 that were deleted and combined into items listing #1311. Three additional violations were added: #1048, #1049 and #1757. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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