10A NCAC 09 .0304 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 47 Completed Date: 7/16/2025 Age: From 0 To 2 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshall, Child Care Consultant, accompanied me. A signed copy of the visit summary was left on-site. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Macon Program for Progress, Inc., is current and active as of 7/11/25. Permit type – five-star center license issued on December 21, 2019 Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was practiced on July 16, 2025 The last shelter-in-place drill was practiced on February 18, 2025 The last playground inspection was documented on June 25, 2025. The last fire inspection was approved on September 16, 2024. The last sanitation inspection was conducted on July 24, 2024 with number four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. According to the Clean Water Kids for U Kids the program has started the enrollment process lead paint and asbestos testing. Upon arrival I introduced my presence to the Administrator. Children were observed during indoor free play, teacher-lead reading activities, routine care needs. Children in C-5 were observed during lunch time which consisted of turkey, gravy, mashed potatoes, green beans, stuffing, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill recorded was dated 02/18/2025. .0604(u);.0302(d)(8) 9995 A violation was found for which there is no item number. Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #1811- An emergency drill such as a shelter in place or lockdown drill must be completed every three months and the date of the drill must to be recorded. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due in February, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 7/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937 or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Annual Staff Development Plans and Staff Evaluations need to be conducted annually based on their hire date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 44 Completed Date: 7/30/2024 Age: From 0 To 2 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Amanda Benedict, Administrator, during the visit. A signed copy of the visit summary was left for you. Today I was accompanied by Sarah Upton, Child Care Consultant. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 7/30/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current and active as of today. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 8/10/23. The last fire drill was practiced on 7/26/24. The last shelter-in-place drill was practiced on 5/29/24. The last playground inspection was documented on 5/29/24. The last fire inspection was approved on 11/30/23. The last sanitation inspection was conducted on 7/24/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited for lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed washing hands after playing outside. The group of two-year-old children were playing with manipulatives and bringing them to the teacher. The teacher would ask questions about the toys and engage with children. Today I followed up on a supervision complaint conducted on 7/25/24. Supervision was found to be in compliance today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outside extension of the classroom has standing water and a cabinet that was not cleaned with broken debris on top. 15A NCAC 18A .2832(a) Technical assistance was provided as follows: Item 0808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Note: Make sure outside spaces the children use are maintained and monitored for safety. Water that has been standing can attract mosquitos. Make sure broken play equipment and toys are is removed from children's play areas. According to 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES (a) At child care centers, the premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazardous materials, and maintained in a manner which does not encourage the harborage of vermin. All debris, glass, dilapidated structures and broken play equipment shall be removed. Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. Consultation is provided as follows: We discussed that you are in the process of making some new hires for teacher positions. We discussed the new QRIS system and how this will affect you. We discussed making sure all staff have ongoing training hours up to date. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 44 Completed Date: 7/30/2024 Age: From 0 To 2 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Amanda Benedict, Administrator, during the visit. A signed copy of the visit summary was left for you. Today I was accompanied by Sarah Upton, Child Care Consultant. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 7/30/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current and active as of today. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 8/10/23. The last fire drill was practiced on 7/26/24. The last shelter-in-place drill was practiced on 5/29/24. The last playground inspection was documented on 5/29/24. The last fire inspection was approved on 11/30/23. The last sanitation inspection was conducted on 7/24/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited for lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed washing hands after playing outside. The group of two-year-old children were playing with manipulatives and bringing them to the teacher. The teacher would ask questions about the toys and engage with children. Today I followed up on a supervision complaint conducted on 7/25/24. Supervision was found to be in compliance today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outside extension of the classroom has standing water and a cabinet that was not cleaned with broken debris on top. 15A NCAC 18A .2832(a) Technical assistance was provided as follows: Item 0808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Note: Make sure outside spaces the children use are maintained and monitored for safety. Water that has been standing can attract mosquitos. Make sure broken play equipment and toys are is removed from children's play areas. According to 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES (a) At child care centers, the premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazardous materials, and maintained in a manner which does not encourage the harborage of vermin. All debris, glass, dilapidated structures and broken play equipment shall be removed. Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. Consultation is provided as follows: We discussed that you are in the process of making some new hires for teacher positions. We discussed the new QRIS system and how this will affect you. We discussed making sure all staff have ongoing training hours up to date. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 44 Completed Date: 7/30/2024 Age: From 0 To 2 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Amanda Benedict, Administrator, during the visit. A signed copy of the visit summary was left for you. Today I was accompanied by Sarah Upton, Child Care Consultant. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 7/30/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current and active as of today. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 8/10/23. The last fire drill was practiced on 7/26/24. The last shelter-in-place drill was practiced on 5/29/24. The last playground inspection was documented on 5/29/24. The last fire inspection was approved on 11/30/23. The last sanitation inspection was conducted on 7/24/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited for lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed washing hands after playing outside. The group of two-year-old children were playing with manipulatives and bringing them to the teacher. The teacher would ask questions about the toys and engage with children. Today I followed up on a supervision complaint conducted on 7/25/24. Supervision was found to be in compliance today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outside extension of the classroom has standing water and a cabinet that was not cleaned with broken debris on top. 15A NCAC 18A .2832(a) Technical assistance was provided as follows: Item 0808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Note: Make sure outside spaces the children use are maintained and monitored for safety. Water that has been standing can attract mosquitos. Make sure broken play equipment and toys are is removed from children's play areas. According to 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES (a) At child care centers, the premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazardous materials, and maintained in a manner which does not encourage the harborage of vermin. All debris, glass, dilapidated structures and broken play equipment shall be removed. Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. Consultation is provided as follows: We discussed that you are in the process of making some new hires for teacher positions. We discussed the new QRIS system and how this will affect you. We discussed making sure all staff have ongoing training hours up to date. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 44 Completed Date: 7/30/2024 Age: From 0 To 2 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Amanda Benedict, Administrator, during the visit. A signed copy of the visit summary was left for you. Today I was accompanied by Sarah Upton, Child Care Consultant. Today, Amanda Benedict, Education Supervisor, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 7/30/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current and active as of today. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 8/10/23. The last fire drill was practiced on 7/26/24. The last shelter-in-place drill was practiced on 5/29/24. The last playground inspection was documented on 5/29/24. The last fire inspection was approved on 11/30/23. The last sanitation inspection was conducted on 7/24/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited for lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed washing hands after playing outside. The group of two-year-old children were playing with manipulatives and bringing them to the teacher. The teacher would ask questions about the toys and engage with children. Today I followed up on a supervision complaint conducted on 7/25/24. Supervision was found to be in compliance today. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The outside extension of the classroom has standing water and a cabinet that was not cleaned with broken debris on top. 15A NCAC 18A .2832(a) Technical assistance was provided as follows: Item 0808- The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Note: Make sure outside spaces the children use are maintained and monitored for safety. Water that has been standing can attract mosquitos. Make sure broken play equipment and toys are is removed from children's play areas. According to 15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES (a) At child care centers, the premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazardous materials, and maintained in a manner which does not encourage the harborage of vermin. All debris, glass, dilapidated structures and broken play equipment shall be removed. Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. Consultation is provided as follows: We discussed that you are in the process of making some new hires for teacher positions. We discussed the new QRIS system and how this will affect you. We discussed making sure all staff have ongoing training hours up to date. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SARAH UPTON Operation Type: Center Case Number: 0724-062L Visit Date: 7/17/2024 Number Present: 42 Completed Date: 7/17/2024 Age: From 0 To 2 Total Minutes: 220 Time In: 11:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements regarding supervision. This incident was self-reported by Kara Jones, Macon Program for Progress, Head Start Director. The Complaint was received on July 05, 2024 and sent to Sidney McCrory, Child Care Consultant for this program on July 05, 2024. Sarah Upton, Child Care Consultant, conducted this visit including documentation for Ms. McCrory due to time constraints in Ms. McCrory schedule and the fact that this visit needed to be completed within the time frame set forth in DCDEE policy and procedures. The allegation is there is a concern regarding supervision. Upon arrival I met with Kara Jones, Macon Program for Progress, Head Start Director and Amanda Benedict, Administrator and explained the reason for my visit. Ms. Jones provided me documentation of an incident that occurred on July 02, 2024 at 10:35 am and I was allowed to view video footage from this day and time. According to the documentation provided and the video footage on July 02, 2024 at 10:35 am there were two (2) teachers and seven (7) children in the classroom for children ages one year of age. As the children were exiting the building to go outside one teacher was in front of the line and the other teacher was in the back. The teacher in the back stopped to speak with another teacher in the hallway. As the teacher in the front of the line opened the door and exited out onto the playground a 19-month-old child slipped out of line and walked over to the indoor play area and around the corner near the storage cabinets that staff sometime use has a break area and could not be seen. The teacher that had stopped to speak with the other teacher was unaware the child had left the line and went outside with the remaining children. Once both teachers were outside, they counted the children and noted that they were one short. After realizing that all the children were not accounted for a teacher came back into the building and found the child walking towards the doors leading to the playground. Based on the video footage the child was left unsupervised for 1 minute and 27 seconds. The child did not cry or appear to upset. Based on the information reviewed today this allegation was substantiated. Ms. Jones reported today that since this incident she has reviewed the supervision policy with the teacher that stopped in the hallway and she was written up. Limited monitoring of child care requirements were conducted today. During my visit today I observed children during snack, which consisted of cheese sticks and crackers and free play. The following violation was written. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Based on staff report and video footage on July 02, 2024 at 10:35 am there were two (2) teachers and seven (7) children leaving the classroom to go to the playground. One teacher was observed in the front of the line leading the children outside, while the other teacher was in the back of the line. When the teacher leading the line opened the door and exited the building, a 19-month-old child left the line, went over to the indoor play area and storage cabinets. The teacher in the back of the line stopped to speak with another teacher leaving a lapse in supervision and did not see the child leave the line. Once both teacher and children were outside the teacher counted and noted that not all children were accounted for. As the teacher came back inside the child was coming around the corner towards the playground exit doors. Based on the video footage reviewed the child was left inside unsupervised for 1 minute and 27 seconds. During my walk through I observed children one-through-two-years of age in classroom 6 sitting at the table eating cheese sticks and crackers while one teacher was changing diapers and the other teacher was walking around with another child and her back was turned towards the children eating. .1801(a)(1-5) Technical Assistance: Item #303 children need to be adequately supervised at all times. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. Another visit will be made to ensure that this violation is being corrected. Due to a substantiated report regarding supervision this may warrant an Administrative Action. Refer to SECTION .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES regarding Administrative Actions. Closure: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 38 Completed Date: 1/24/2024 Age: From 0 To 2 Total Minutes: 390 Time In: 10:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Amanda Benedict, Educational Supervisor, accompanied me today during the walk through. Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant, were with me today. The program’s annual compliance visit was conducted on 8/10/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions There are two (2) staff members since the facility had their Annual Compliance on 8/10/23. The last fire drill was practiced 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23. The last fire inspection was approved 11/30/23. The last sanitation inspection was completed on 12/21/23 with five (5) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Upon arrival I was greeted by Ms. Jones. Teachers’ interactions were positive and nurturing. Supervision was adequate. Infants were observed playing on floor with teachers. The classroom with one to two-year old children were observed eating a healthy lunch while visiting with their teachers who were seated with them. The following violations of child care requirements were observed today Violation Number Comment Rule 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. Two (2) outlets were uncovered in classroom space 3-6. Four (4) outlets were uncovered in classroom space 3-8. 10A NCAC 09 .0604(c) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) diaper cream in classroom space 3-2 and one (1) diaper cream in classroom 3-5 was not labeled with the child’s name 10A NCAC 09 .0803(4) 871 Center staff did not comply with the safe sleep policy. A infant was viewed on camera sleeping and not being check after 17 minutes and staff did not document the time the infant had gone to sleep. 10A NCAC 09 .0606(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks were not documented for one (1) child in classroom space 3-5 on 1/22/24 and 1/23/24. The child’s attendance on 1/22/24 and 1/23/24 was confirmed via video footage during the visit today. .0606(g) Technical Assistance for Correction Plan: Item #812 All outlets must be covered or made inaccessible to children. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. #Item 871 Center staff did not comply with the safe sleep policy. According to 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; Item #846 All medications must be labeled with the child’s name. This was corrected during the visit. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (a) the child's name; (b) the names of the authorized over-the-counter medication; (c) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (d) the signature of the parent, physician or other health professional; and (e) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Items (6), (7), (8) and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Items (6), (7), (8) and (9) of this Rule. Item # 887 Visual checks must be conducted at least every fifteen (15) minutes on sleeping children aged twelve months or younger. The visual checks must be documented on a log and documentation must be maintained on file for at least one (1) month. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (g) Documents that verify staff member's compliance with visual checks on infants shall be maintained for a minimum of one month. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 2/7/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: We discussed that you are in your prep year and would like to have your prep year assessment. We discussed to continue using your Emergency Medical Care Plan. Make sure teachers names are filled in. We are seeking additional guidance on this matter. I will get back with you on policy and procedures. We discussed having me come back and do a supervision training to talk about the rules and regulations of supervision. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MACON PROGRAM FOR PROGRESS NEW HORIZONS III Facility ID: 56000174 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 43 Completed Date: 8/10/2023 Age: From 0 To 2 Total Minutes: 345 Time In: 10:15 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Chuck Sutton, Executive Director, during the visit. An electronic signed copy of the visit summary was to you. Today I was accompanied by Sarah Upton, Child Care Consultant and Kaitlyn Marshall, Child Care Consultant. Today, the Amanda Benedict, Education Supervisor, accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percentage as of 8/10/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of 8/8/23. Permit type – Five Star Special Services/Restrictions – Meets reduced ratio; Meets reduced space. The last annual compliance visit was conducted on 1/26/23. The last fire drill was practiced on 7/26/23. The last shelter-in-place drill was practiced on 8/2/23. The last playground inspection was documented on 7/28/23. The last fire inspection was approved on 10/5/22. The last sanitation inspection was conducted on 6/27/22 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to the Administrator. In the classroom with two-year-old children, the teachers were reading books while the children waited on lunch. Both teachers were on children’s level and engaged with children. The classroom with infants and one-year-old children were observed playing with manipulatives and bringing them to the teachers. Teachers would ask questions about the toys and engage with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Electrical Outlets Item 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. Two electrical outlets located in space one (1) and space two (2) were uncovered. Note: Outlets in Space two (2) and Space three (3) were uncovered. This was corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child Consultation is provided as follows: Bathroom 15A NCAC 18A .2817 TOILETS (a) In child care centers, toilet tissue shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be easily cleanable, and in good repair. Toilet fixtures shall be child-sized, adapted adult toilets or potty chairs. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828-550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times