10A NCAC 09 .0601 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1005 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/16/2025 Number Present: 76 Completed Date: 7/16/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 10:30 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 me, Kaoru Eddins Child Care Consultant and also signed by Kara Jones, Administrator, during the visit. Kaitlyn Marshal, Child Care Consultant accompanied me. A signed copy of the visit summary was electronically emailed to you. Cindy Cameron, on-site administrator accompanied me during the walk-through. Ms. Jones was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) 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 7/23/24. 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 6/18/25. The last shelter-in-place drill was practiced on 4/17/25. The last playground inspection was documented on 6/25/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a superior classification. The program has been in contact with the environmental health specialist. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 10/15/24 without hazards. No results were available for lead paint and asbestos testing. Per Crystal Nix, administrative supporting staff, the enrollment questionnaires for lead paint and asbestos were completed on Monday, July 14, 2025. No responses were received from Clean Classroom for Carolina Kids. Upon arrival, I announced my presence and the purpose of the visit. In space 2-1, a group of eight (8) children, two-to-three years of age, were present with two (2) staff members. Some children sat at the table with a staff member and played with some playdough. The other children walked around the classroom and/or played in the housekeeping area. The children from space 2-2 and 2-3 played on the playground. The children played with a sandbox, tricycles, balls and rockers. Water was available for the children on the playground. Staff members were spread apart and moving about. In space 2-4, a group of seven (7) children transitioned from the playground to the classroom. Name to face counts were taken prior to the transition. In space 2-5, a group of six (6) children, all three (3) years old, engaged in free play with three (3) staff members. The children played with housekeeping materials, blocks and sorting materials. In space 2-6, a group of eight (8) children, all two(2) years old, engaged in free play with water table, blocks and other materials. Two (2) staff members were present. Eight (8) children, three-to-fve years of age in space 2-7, participated in a field trip today. No information regarding the field trip or how many children participated in the activity was available until the class returned from the trip. The posting on the door mentioned field trip to the movies and return time of 12:30. When the group returned, I was able to check the attendance roster and the permission form for the field trip signed by the parents. Four (4) staff members, including the bus driver accompanied the children. The children in space 2-8 engaged in free play with two (2) staff members. The materials they used were baby dolls, cups and colorful cubes on the light-up table and blocks. In space 2-9, thirteen (13) children completed tooth brushing during observation. The group returned to the classroom from an activity, washed their hands and sat at the tables. The children brushed their teeth at the table. When they were done, the children washed their hands again and transitioned to free play. Three (3) staff members were present. No emergency medications were maintained in any of the classrooms. A few over-the-counter creams were maintained at this facility, and the permission form was current for all over-the-counter products. Supervision and interaction were adequate. Playground #1 and #2 were monitored. No safety hazards were found. Natural shade by trees and artificial shade were available on the playgrounds. Nine (9) children’s files were monitored and were in compliance. No infants were served at this program currently. No rooms were set up for infants. The rest time was monitored in all classrooms. Lunch was observed and items served to the children matched on the menu. Five (5) new staff files and eight (8) existing staff files were monitored. The ABCMS system was reviewed by Ms. Marshal prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program currently uses one (1) bus to transport children three-to-five year old preschool children. The registration, vehicle insurance for Bus 21 were current. Tires are in adequate shape. No tears or wear were found on the seats. Fire extinguisher, first aid kit and bloodborne pathogen kit were safety mounted. The driver’s CDL was current. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 444 A schedule of off premise activities were not posted in each participating classroom to be viewed by parents and/or copy of the schedule was not given to parents. The field trip permission form for the children were signed and returned by the parents. The schedule of the field trip was not posted in the classroom in space 2-7. .1005(b)(5) 481 A list of all children participating in the off premise activity was not available at the center. A list of children from space 2-7 participating in the field trip were not available at the facility. .1005(b)(6) 618 Diaper changing surfaces were not kept free of storage. In space 2-4, a child's dress and a finger paint art were left on the changing table. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Three children's faces were covered by their blanket while they were asleep (one child in 2-4, one in 2-6 and one in 2-9). 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2-4, an outlet behind teacher desk was not covered by a safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 444: Schedule of off-premise activities A schedule of off-premise activities must be posted in each participating classroom and a copy of the schedule must be given to parents. 481: A list of all children participating in off-premise activity A list of all children participating in the off-premise activity must also be available at the center. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (b)(5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (c) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (b)(6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. Ms. Jones stated that “For any field trips, notice of field trip activity will be posted, and a copy of daily attendance sheet will be kept on site”. This item was corrected during the visit. 618: diapering surfaces Diaper changing surfaces must be maintained free of storage. Refer to 15A NCAC 18A .2819(c). This item was corrected during the visit. 807: Safe environment - rest time requirements When children cover their faces with a blanket and fall asleep, the blanket must be moved from their faces to monitor their coloring and breathing adequately. Refer to .0601(a). This item was corrected during the visit. 812: Outlets Outlets accessible to the children must be covered by safety cover. Refer to .0604(c). This item was corrected during the visit. 1034: Health Questionnaire Health Questionnaire is required for the 2nd of employment and annually thereafter. Refer to .0701(a). This item was corrected during the visit. Achieving Compliance: Due to all violations being corrected during the visit, no compliance letter for this visit is required. Consultation is provided as follows: Staff Development Plan and Annual Evaluation: Annual staff evaluation and staff development plan shall be completed annually based on each staff member’s hiring date. Equipment: During summer time, some equipment in the sun gets too hot to touch. The green slides on the Early Head Start Playground were too hot to keep my hand on it. No children were seen using the equipment. Please be aware of temperatures on equipment and prevent children from playing on them if they are too hot. ABCMS staff roster: Please create a staff roster for your program on the ABCMS system. If substitute staff members work for multiple sites, they have to be listed on the roster for all sites. Administrators, specialists and support staff members must also be listed on the roster. This item will be cited as a violation next time. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/28/2025 Number Present: 87 Completed Date: 1/28/2025 Age: From 2 To 5 Total Minutes: 310 Time In: 10:05 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct limited monitoring during a routine unannounced visit. A computer-generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant, and also signed by Kara Jones, Administrator, during the visit. A signed copy of the visit summary was provided to you. Sidney McCrory, Child Care Consultant, conducted a visit at Macon Program for Progress New Horizons III during the same time period. Kara Jones, Administrator was available to answer and ask questions during the visit. Cindy Cameron, Education Supervisor, assisted during the walkthrough of the building. Limited monitoring included, but was not limited to: • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percent as of today prior to this visit. Permit type – Five-star Center License issued on 7/23/24. Special Services/Restrictions –daytime care, meets enhanced space, and meets reduced staff/child ratios. The last annual compliance visit was conducted on 7/30/24. The last fire drill was documented as practiced on 1/28/25 and was completed upon arrival to the facility today. The last lockdown drill was documented as practiced on 11/14/24. The last fire inspection was approved on 9/16/24 for daytime care only. The sanitation inspection was conducted on 7/24/24 with seven (7) demerits for a Supervisor classification. The Emergency Medical Care plan was posted. The children were observed in routine care, free play, small group activities, transition to outdoors, and outdoor play. Lunch today was taco bake with whole wheat tortilla, corn, pineapple chunks, and milk. Four (4) new staff files were reviewed. Two (2) NC Pre-K staff files were reviewed. Staff and training worksheets were reviewed. Three (3) NC Pre-K child files were reviewed. During the 7/30/24 annual compliance visit, the NC Pre-K program was not in operation. The NC Pre-K program was monitored during the visit today. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. As a result of Tropical Storm Helene, the NC Pre-K on-site monitoring tool is not required for fiscal year 24-25. The two (2) NC Pre-K classrooms operate from 8:45a.m. to 3:15p.m. In addition, NC Pre-K monitoring included children’s files, staff files, nutrition, age-appropriate activities, and in-service training. 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 Statutes 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/. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A Desitin diaper cream in space #2-3, the classroom with two and three year old children, had a parent authorization form that expired in September 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #2-1, the classroom with two and three year old children, a Ventolin inhaler was administered to a child on 1/24/25 and not documented as being administered. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2-4, the classroom with two year old children, had three plastic bags stored in the cubbies for children located under five feet and accessible to the children. .0604(q) Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Statement of compliance I must receive your compliance statement by 2/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828.243.2154 or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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. Technical Assistance to achieve compliance – child care law and rule reference can be found in the cited violations. Medications Item #849 – Medications, including topical diaper ointments, must be returned to the parent or discarded within 72 hours of the medication authorization form expiring to ensure the medication is not used again on the child without parent authorization. The Desitin must be returned to the parent or discarded. We discussed to review medication requirements with staff to ensure compliance. Item # 851 – Certain medications must be recorded when administered, including prescription medications. This ensures the accurate record keeping for the safety of the child in case of a reaction or to eliminate confusion on if the medication has been administered. The inhaler prescription medication administered on 1/24/25 was recorded on 1/28/25 during the visit; this violation was corrected during the visit. Safety Requirements for Children Under Three Years of Age Item #858 – Plastic bags must be inaccessible to children under three years of age to keep children safe from suffocation and choking. The three plastic bags were taken out of the cubbies during the visit and placed on top of a cabinet that was over five feet tall; this violation was corrected during the visit. Due to Tropical Storm Helene, additional guidance was provided on the items below. One (1) staff with a hire date of 9/3/24 had a staff medical repot on file dated 10/15/24. We discussed the staff medical reports are due prior to employment. In addition, the last question on the staff medical report form was marked “no” to the question “In your opinion, is this applicant emotionally and physically capable to care for children on a daily basis?” We discussed the employee will need to return the form to the health care professional to find out if the question can be answered “yes.” Consultation was provided as follows: We discussed A. Jenkins is listed on the staff and training worksheet and in her file as needing eight (8) hours of on-going training each year. However, A. Jenkins is a NC Pre-K Assistant Teacher and is required to have at least fifteen (15) hours each year. A. Jenkins exceeded 15 hours of annual training. 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. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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 .0304 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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 .0604 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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 .1102 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/30/2024 Number Present: 67 Completed Date: 7/30/2024 Age: From 2 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 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 Kara Jones, Head Start Director, during the visit. An electronic signed copy of the visit summary was to you. Sarah Upton, Child Care Consultants, accompanied me today. Today, Cindy Cameron, Administrator, accompanied Sarah Upton during the walkthrough. 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 eighty-seven (87) percentage as of July 29, 2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, is current/active as of July 30, 2024. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation for bus # was monitored due to children being transported to the pool once a week. The last annual compliance visit was conducted on August 10, 2023. The last fire drill was practiced on July 26, 2023 The last shelter-in-place drill was practiced on May 29, 2024 The last playground inspection was documented on June 28, 2024 The last fire inspection was approved on October 03, 2023. The last sanitation inspection was conducted on July 24, 2024 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Two (2) classrooms for two- to three-year-old children were observed playing outside on the playground and having water play with a sprinkler. A classroom for two-through-three year old children were observed during free play indoors. A classroom for two-through-three-year-old children were observed during group time. A classroom for three-through-five-year-old children were observed preparing for lunch. Three (3) classrooms for three-through-five-year-old children were observed eating lunch, which consisted of ham, cheese, cucumbers, applesauce, crackers 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 written. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was completed on July 26, 2024, however, it was not recorded on the drill record. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom six (6) there was a bottle of liquid Ibuprofen and a bottle of liquid Tylenol stored in a unlocked cabinet. 15A NCAC 18A .2820(d) Technical Assistance: Item #805 fire drills must be recorded on the fire drill log as they occur. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) Item #841 medications must be always stored in a locked box or cabinet. According to 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Violations written today were corrected during today’s visit and a Letter of Compliance is not due. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any 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 .0302 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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 .0304 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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 .0601 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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 .0608 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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 .1801 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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. 110-91 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/24/2024 Number Present: 169 Completed Date: 1/24/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 10:30 AM Time Out: 05:15 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. Jen Fouts and Bridgett Curtis, accompanied Sarah Upton and Kaitlyn Lee, Child Care Consultants, during the walkthrough of classrooms 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 Upon arrival the children in space 1-2 and 1-6 were observed during free play activities, space 1-7 was observed during outside gross motor play and transitioning from outside to inside. In space 2-9 children were observed during group time. Children in spaces 2-4, 2-5, 2-7 and 2-8 were observed eating lunch which consisted of pork loin and gravy, mashed potatoes, peaches, roll ana milk. In space 2-6 children were observed preparing for nap. In classroom space 1-1, children explored kinetic sand in a sensory table, solving puzzles and operating a toy cash register in dramatic play. In classroom space 1-3, children watched a video about letters and listened to a read loud story read by the teacher. The video was documented on the weekly lesson plans. In classroom space 1-5, children engaged in a tea party with teachers where they practiced taking turns and sharing materials. In classroom space 1-8, children were engaged in a large group meeting in which “Simon Says” and syllable clapping games were played. Children followed along with a dancing video which was documented on the weekly lesson plans. In classroom space 1-4, children engaged in a teacher led yoga and breathing activity and participated ina teacher-led number activity. In classroom space 2-1, children washed hands and joined the table to prepare for lunch. Children were served when both teachers were present at the tables to assist with serving and eating. In classroom space 2-2, children ate lunch with teachers at the tables. In classroom space 2-3, children ate lunch with teachers present at the tables. Children discussed their observations about the food and made sandwiches with the rolls. A complaint visit was made on 1/16/24 for supervision’s complaint was substantiated. During today’s visit I also observed supervision in room 2-8 and a repeat violation was cited. There have been six (6) staff members since the facility had their Annual Compliance on 5/15/23. The last fire drill was practiced for building one was conducted on 01/08/2024 and for building two was conducted on 12/21/23. The last shelter-in-place drill/lockdown drill was practiced on 10/30/23 The last fire inspection was approved 10/03/23 The last sanitation inspection was completed on 10/25/23 with twelve (12) 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In building two (2) classroom 2-4 children two through three years of age were observed eating lunch. During this time there were three (3) staff members in the classroom. All three (3) were observed assisting children with cleaning up their plates and pouring out their milk with their backs turned to children still eating at the table. In classroom 2-7 for children three through four years of age, staff were observed cleaning up after lunch, assisting with handwashing, and putting out cots, while children were eating at the table. During these activities teachers’ backs were turned towards the children eating and could not see them. In classroom 2-8 for children ages four through five years, staff were observed cleaning up after lunch, cleaning tables, placing chairs on top of the tables, assisting children with hand washing and toileting while two (2) children were observed sitting at the table eating lunch. Staff members’ backs were turned away from the children and could not see the children while they were eating. .1801(a)(1-5) 721 All equipment and furnishings were not in good repair. Rust and mildew were observed on a basketball hoop and Rust was observed on four (4) tricycles located on the Head Start playground outside of building. Rust was also observed on two (2) tricycles on the Early Head Start playground outside of building 2. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In building two classroom 2-5 there was an umbrella tree in the classroom, which is considered a toxic plant. .0604(l) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Trash bags containing a suffocation warning were stored under five feet in space 2-1 with four (4) children two years of age. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not available for the month of October. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of new staff files the date of receipt and review of the facility’s policy on Prevention of Shaken Baby Syndrome and Abusive Head Trauma was not documented for one (1) staff member hired on 1/8/24. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In classroom space 2-2, the permission to administer medication for one (1) diaper cream expired on 12/19/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance for Correction Plan: Item #303 children need to be adequately supervised at all times. While children are playing outside teachers need to be up and moving about the playground and in the areas where children are playing. They need to be engaging and interacting with the children as well. Any time children are eating teachers need to be focused on the children eating and not engaged in routine care needs especially when there is only one teacher present. If all children are done eating then plates and milk need to be removed before teachers step away. There should always be at least one teacher standing or sitting by the children while eating. 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. Item #721 equipment must be free of rust and mildew. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #823 all toxic plants must be stored at least 5 feet above the floor. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf Item #858 all trash bags containing a suffocation warning must be stored at least five (5) feet high. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #859 Playground inspections must be conducted monthly and inspections must be available for review. According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; Item #1882 any over-the-counter medication must be accompanied by a current written authorization from the child’s parent/legal guardian. According to 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1874 all staff must have a sign and dated statement that they have received a copy of the facility’s Prevention of Shaken Baby Syndrome and Abusive Trauma prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (e) If a child care center changes the policy at any time, the child care center shall review the revised policy with staff members 14 days prior to the implementation of the new policy. The individual shall sign a statement that attests that a copy of the new policy was given to and discussed with him or her. This statement shall be kept in the staff member's file. 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. 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 .1801 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: 0124-093L Visit Date: 1/16/2024 Number Present: 70 Completed Date: 1/16/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 11:30 AM Time Out: 02:30 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. I reviewed the allegation with you, and you were given an opportunity to respond to each concern. The Complaint was received on 1/10/24 by S. Grant. I received it on 1/11/24. The report alleges there was a four-year old child left in a room unsupervised for a minimum of one (1) hour and thirty (30) minutes. When the mother came to pick up the child, they were made aware of his absents and did a search to find the child asleep in a comfy cub in the classroom. Limited monitoring of child care requirements were conducted today. There was twelve (12) children between the ages of four to five-year-olds. Supervision Upon arrival I was greeted by Kara Jones, Administrator. This Compliant was self-reported and Cameras were used to check timing and noted to see that no head counting was used during the incident. A 4-year old child had been left in a classroom for a long period of time unsupervised. The mother of the child came to pick him up at approximately 5:20pm and the child could not be found by afternoon staff. At this time (5:20pm) children had been combined and were in classroom 2-7 with late staff. Before going into classroom 2-7 children had been outside on the large playground. Children in classroom 2-8 left their classroom with staff Danielle Bryson and Dakota Bumgarner at 3:55pm to go to the outside playground. At 4:01 staff and children enter the playground entrance. Video footage shows children were not counted when leaving the classroom or when entering the outside play area. At 4:30 children were lined up in the playground area and brought back into the building, going to classroom 2-7. Staff present at this time were Raquel Mendoza, Dakota Bumgarner, Hannah Morrison, Rebecca Talley and Patsy Ballard. From the video footage there were 16 children with 5 teaching staff. At 4:32 staff and children enter classroom 2-7. At 4:50 a staff person with a child walked into classroom 2-8 (where the male child was still asleep in the cube) and assisted a child in the rest room. The staff person was not aware the child was in the classroom or notice the child. At 5:21pm Tonja Childers walked with the mother of the “missing child” into classroom 2-8 to look for the child. They did not see him. At 5:24pm Patsy Ballard entered classroom 2-8 again and walked to where the child was still sleeping, awoke the child, and took him to his mother. After reviewing video footage, It was observed that the child woke from nap and went to lay in the cube by the teachers desk. There was no interaction with the teacher and the child for an hour. The teachers then left the classroom without counting heads and left this child unsupervised for an additional hour and a half. During the classroom time of 3:00pm. -4:00 pm the assistant teacher was seen on her phone for most of this hour. She would only put it in her pocket or down on the table to pick it right back up. She also pulled out a computer and sat at a table and looked at it. Neither teacher engaged with children during this hour. The lead teacher in her statement said the child went to lay in the cube. On the video he is not acknowledged nor is the cube looked at as they line up. The lead teacher leaves the class room right before the children and the assistant teacher then walks up behind the line and they move. After observing the classroom the cube the child was sleeping in is in clear sight and can be viewed from a large part of the room. The following violation were documented today: This part of the Complaint has been substantiated. This portion of the complaint is substantiated. The following violation were documented today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A four-year-old child was left unsupervised for approximately one (1) hour and thirty (30) minutes and was not discovered until the mother arrived to pick up the child in space 2-8. Per video footage, the child was asleep in a cube located next to the teacher’s desk for approximately one (1) hour 3:00 – 4:00 p.m. while snack was served, and children were engaged in play. Additionally, it was observed that one (1) staff member was on the cell phone and the second staff member was sitting at a table not engaged with the children. The children and staff then exited the classroom and entered the outdoor learning environment at 4:01 p.m. When returning from outdoor play at 4:32 p.m., the remaining children and staff entered space 2-7. When the mother arrived, staff were unaware of the location of the child and began to search for him. The child was found asleep in space 2-8 for approximately one (1) hour and thirty (30) Minutes. .1801(a)(1-5) Supervision Supervision Item 303-Children were not adequately supervised at all times. Note: Child was left unsupervised for one (1) hour and thirty (30) minutes and was not discovered till mother came to pick him up and teachers had to help search for him. The child was also sleeping in the class for an hour in a cube not being checked on for an hour prior to going outside. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. The following items were addressed today: Kara Jones, Administrator, Stated the Headstart program at MPP has had 101 new hires since July 2020. They are going back to the basics and starting a new training program that brings in a seasoned lead teacher to train each new employee and shadow them while training them. They are coming up with new training ideas and solutions to teach our new workforce in child care how to be present and do the basics from ground up and have well rounded child care. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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. 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.

GS 110-105 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: CHRISTOPHER MORROW Operation Type: Center Case Number: 1223-234A Visit Date: 12/21/2023 Number Present: 159 Completed Date: 12/21/2023 Age: From 1 To 5 Total Minutes: 210 Time In: 12:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Kara Jones, Administrator, was also present during the visit. Ms. Jones accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Jones and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 904 Child was handled roughly. On 12/19/23 a staff member grabbed a three-year-old child's arm, moved the child off a slide, and carried the child to another location. The child sustained red marks and bruises to the right arm. .1803(a)(1) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on a staff member causing physical injury to a child. GS 110-105.6(a) Violations must be corrected immediately. Within one week, on or about 12/28/23, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrrow@dhhs.nc.gov. You may contact me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrrow@dhhs.nc.gov or Natosha Lambeth, Investigations Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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 .0601 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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 .0508 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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 .0510 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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 .0601 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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 .1801 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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

GS 110-91 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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

NC GS 110-90 · Violation

Name of Operation: NEW HORIZONS CENTER FOR CHILDREN AND FAMILIES Facility ID: 56000013 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 79 Completed Date: 8/10/2023 Age: From 2 To 5 Total Minutes: 375 Time In: 10:15 AM Time Out: 04:30 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 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. Kaitlyn Marshall and Sarah Upton, Child Care Consultants, accompanied me today. Today, June Rathbone, Education Manager accompanied Sarah Upton during the walkthrough of building one (1) and two (2). 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 eighty-two (82) 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 8/08/23. Permit type – Five Star Special Services/Restrictions –NCPRE-K, meets enhanced space, meets reduced ratios, transportation Transportation does not occur during the summer months and were not monitored today. The last annual compliance visit was conducted on 10/04/22. The last fire drill was practiced on 07/20/23 The last shelter-in-place drill was practiced on 8/02/2023 The last playground inspection was documented on 7/28/23 The last fire inspection was approved on 10/05/22 The last sanitation inspection was conducted on 06/27/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival we introduced our presence to the Administrator. Three (3) classrooms for three- to five-year-old children were observed playing outside on the large playground. Three (3) classrooms for children two-to-five-year-old children were observed playing on the smaller upper playground. Children were observed during routine care needs and lunch which consisted of turkey and cheese sandwiches, cucumbers, carrots, 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 written. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility received an unsatisfactory Fire Inspection on 10/5/22. A fire inspection with a satisfactory rating has not been received. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. During the walk through of the outdoor playground area used by children ages three through five years a teacher (RT) was observed sitting at the picnic table underneath the tree at the top of the playground near the restrooms. There were no children playing near her or in the area around her. She remained seated for the majority of my time outside on that playground area approximately fifteen minutes. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. Classroom number 7 in building number one (1) did not a current activity plan posted. Classroom number 7 in building number two (2) did not have a current activity plan posted. GS 110-91(12); .0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. During the walk through of classrooms in building two (2) is was noted that in two (2) classrooms for children ages four through five years children were watching TV. One classroom was watching a kids animated show called Dinosaur Ranch and one classroom was watching an animated show called Puppy Dog Pals. This activity was not documented on the activity plan nor on a cumulative log. These programs being used with the children did stimulate a developmental domain. .0510(d)(2)(A-C) 807 A safe indoor and outdoor environment was not provided for the children. The kitchen area in building one (1) was left unlocked and no one was in the area. In building two (2) classroom two (2) there was cabinet located behind the desk that was left unlocked with teachers personal bookbags stored on a low shelf. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: Item # 303 - Staff must adequately supervise children while on the playground. Staff must be positioned in the outdoor environment to maximize their ability to hear or see children at all times while moving about the area. 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; Another visit will be made to ensure that this violation is being corrected. Item # 428- all classrooms must have a current activity plan posted for easy reference by parents and caregivers. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #524- any time screen time is used it must meet the following: According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. Item 0601- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: Facility had an unsatisfactory Fire Inspection that had not been corrected. According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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 Item # 807 -when there is no one in the kitchen area the door must be closed and locked due to the temperature of the water, storage of utensils and hazardous equipment such as can openers. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 24, 2023 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@dhhs.nc.gov or you can mail to: Division Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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