10A NCAC 09 .0304 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 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 .3009 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 4/8/2026 Number Present: 17 Completed Date: 4/8/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 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 including compliance with requirements located in Child Care Rule Section .3000 in spaces # 1 where children participating in the NC Pre-K program are cared for. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Bridget Owen, Child Care Consultant and also signed by Crystal Carver NC Pre-K Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, the Crystal Carver, NC Pre-K Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. 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 eight-five (85%) percentage as of 04/06/2026. The ownership of the child care facility is Macon County Public Schools. Permit type – Five Star Center License issued 12/13/2019 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios; NCPK approved The last annual compliance visit was conducted on 5/7/2025 The last fire drill was practiced on 3/26/26 The last shelter-in-place drill was practiced on 12/8/2025 The last playground inspection was documented on 3/2/2026 The last fire inspection was approved on The last sanitation inspection was conducted on 11/4/2025 with five (5) 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 Lead water testing was completed on 11/17/2025 without hazards. Lead paint and asbestos testing has not been completed. Public School Off-site Records Verification form was onsite for review. Two (2) staff files were reviewed. Two (2) children’s files were reviewed. Upon arrival, I introduced my presence to Ms. Carver. I observed a group of seventeen (17) four- to five-year-old children engaged in center play activities. I then observed the group transition to lunch. Lunch consisted of meatloaf, roll, mashed potatoes, green peas, pears, and milk, which reflected the current posted menu. Staff were engaged with the children during lunch, assisting them with opening food packaging and interacting with them throughout the meal. Following lunch, I observed the children transition to toileting, hand washing, and then to the outdoor learning environment. No hazards were observed in the outdoor learning environment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. 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 reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance The current NC Pre-K staff are lead teacher, Crystal Carver and teacher, Christie Wood. Two (2) children files were monitored for completed health assessments and developmental screenings. You stated you were in the process of completing the Dial 4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/25/2025. The classroom operates from 7:30 am to 3:30 pm. Parent conferences are held three times per year. You stated that you use the Thrillshare app to communicate with parents. In addition, a daily report is sent home to the parents which includes any information about the child’s day and any reminders. The environment rating scale score received on 02/22/2019 was 6.3 The following violations were documented during today’s visit Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.The last emergency drill completed was dated 12/8/2025 .0604(u);.0302(d)(8) Technical assistance was provided as follows: Shelter-In Place/Lock Down Drills Item # 1811 The last emergency drill completed was dated 12/8/2025. Shelter-in-place/lockdown drills must be completed quarterly (every three months) to maintain compliance. To achieve compliance, implement a system to remind staff to complete the shelter-in-place/lockdown drill on a quarterly basis. Item # 1805 The staff training worksheet was reviewed prior to today’s visit. Three (3) staff members were listed on the staff training worksheet; however, only two (2) staff members were linked to the ABCMS Provider Portal for this facility. To achieve compliance, T. Stanley (sub) and K. Lynch (principal) will need to be added to the ABCMS Provider Portal for this facility. You stated that H. Sinden is no longer employed by the facility. The administrator will need to terminate this employee in the ABCMS Provider Portal for this facility. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 04/21/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman, NC 28772 Please call me at 828-530-2424, or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the lead paint and asbestos needs to be completed as soon as possible. Based on the rule below testing was required to be completed by May 31, 2025. The link for Clean Classroom for Carolina Kids: https://www.cleanwaterforuskids.org/en/carolina/ Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. We discussed your program’s plans to apply for Pathway 2 Classroom and Instructional Quality. We reviewed the Division’s website, where the application and embedded links can be found. We discussed the Nutrition Opt-Out Form, including when it should and should not be used. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 bridget.owen@dhhs.nc.gov or 828.530-2424 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 16 Completed Date: 5/7/2025 Age: From 4 To 5 Total Minutes: 195 Time In: 10:30 AM Time Out: 01:45 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 Sarah Upton, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. Bonnie Mathis, Licensing Supervisor, accompanied me during this visit. An electronic signed copy of the visit summary was left on-site with you. Today, Ms. Carver assisted us with paperwork and other requested items. 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 one hundred (100%) percentage as of 05/06/2025. This program is owned and operated by Macon County Public Schools Permit type – Five Star Child Care License effective 12/13/19 Special Services/Restrictions –NCPRK; Meets reduced ratios; Meets enhanced space; The last annual compliance visit was conducted on 5/17/2024. The last fire drill was practiced on 4/25/2025 The last shelter-in-place drill was practiced on 3/17/2024 The last playground inspection was documented on 4/01/2025. The last fire inspection was approved on 08/15/2024 The last sanitation inspection was conducted on 12/19/2024 with zero (0) 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. Lead water testing was completed on 08/17/2021 without hazards. Upon arrival we introduced our presence to Ms. Carver and explained the reason for our visit. We observed the group with three- to five-year-old children engaged in center play activities outdoor time and lunch in the cafeteria. Lunch consisted of baked potatoes, ham, cheese, broccoli, carrots, applesauce, 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 program uses public school buses. 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 them not being completed in counties effected by Tropical Storm Helene. Three (3) children files were monitored today. The classroom operates from 7:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. The large climber (Step 2) did not have six (6) inches of resilient surfacing at the exit points of the equipment. There was approximately 2 to 3 inches of resilient surfacing available. The Ace Flyer Teeter Totter was installed over grass. Per manufacturer instructions the equipment is to installed over resilient surfacing. .0605(j) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. There was a container of Lysol disinfectant wipes located on top of the refrigerator and in one cabinet unlocked. .0604(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A staff member's prescribed medication was stored in the teacher's desk unlocked. 15A NCAC 18A .2820(d) 1314 Emergency information did not name child's health care professional. One (1) child's emergency information did not indicate the child's health care professional. (Refer to children's records form) .0802(c)(2) 9995 Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. The lead water testing was completed on 8/13/2021. A new test was due to be completed by August 2024. Sanitation Rule 2816(b)(1). Technical assistance was provided as follows: Item #811 - Any item with multiple warnings on the container must be stored locked to include disinfectant wipes. The two containers were locked during today’s visit. Item # 9995 – Lead water testing is to be conducted once every three (3) years. The lead water testing was due August, 2024. Please request a new lead water testing to be completed through Clean Water for US Kids. Once you are enrolled, this would be the step needed to achieve compliance while the company works with you on next steps for retrieving water samples. Item #716 – We discussed additional resilient surfacing is needed to be placed at the entry/exits of the step 2 climber. Appropriate resilient surfacing is required for all equipment that cannot be moved by one (1) individual and is over 18 Inches in height. Additionally, the Ace Teeter Totter must be removed from the area or resilient surfacing installed as identified through manufacturer’s instructions. Item # 841 – Reminder that all medication must be stored in a locked container or cabinet to include staff’s medication. This was removed and locked during the visit. Item #1311 – Have the child’s parent provide the preferred health care for provider to achieve compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by May 21, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton Address 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the observation of the classroom it was observed that the facility has a blanket form posted regarding arrival and departure that was previously located on the Division’s website. A standard form is no longer the recommendation. It is important that the center’s specific procedures regarding arrival and departure are posted and discussed with staff and parents. During the visit it was stated the teacher assistant will not be returning for the next school calendar year, 25-26. If this changes, be aware that the teacher assistant is required to receive 15 hours of in-service training per NC Pre-K staff requirements. Medication Administration Permission: I would suggest to use the following form for the use of hand sanitizer found under Provider Documents on the DCDEE website Medication Administration Permission Form for Over-The-Counter Topical Medications and Fluoridated Toothpaste Parent/guardian. As a reminder parents/guardians must authorize staff to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, powders, and fluoridated toothpaste. The permission slip must include all the information listed on the form. A copy of this form was emailed to you today during this visit. There is a more recent copy of the NC Summary of the Law that needs to be poste to replace the one that is posted currently. A copy of the most current version was emailed to you today. You will need to have the Legal Designee form that was emailed to you today and completed and returned to me as soon as possible. This form allows you as the lead teacher to sign paperwork such as today’s visit summary. During the visit today we discussed the current routine of children placing their blankets down on the floor at their nap spots. Today we observed several children stepping on the blankets as they moved through the classroom prior to going outside which contaminated the bedding. Additionally, the floor itself does not provide a clean and sanitized place to lay the blankets. As we discussed today, blankets should be left in the children’s cubbies until cots are placed out for nap. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. Information regarding the QRIS modernization plan can be found on the DCDEE website under the “What’s New” tab. QRIS update: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3 also known as the "3s"— started being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) have been collaboratively working on the transition to the third edition. Information regarding the transition can be found by visiting https://ncrlap.org/Resources/pages/get-ready-for-3s. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://ncrlap.org/. for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Lead Paint and Asbestos Testing: will be conducted with the public school. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 17 Completed Date: 9/19/2023 Age: From 3 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. You received a signed copy of the visit summary today. Today, Ms. Carver, accompanied me in the her Pre-K classrooms. 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-five (85)percentage as of 9/19/23. Permit type – Five Stars Effective on December 13, 2019. Special Services/Restrictions – Daytime care only; Meets reduced Ratios: Meets enhanced space. The last annual compliance visit was conducted on 9/26/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced 9/1/23. The last playground inspection was documented on 8/23/23. The last fire inspection was approved 4/18/23. The last sanitation inspection was conducted on 4/12/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Lead Teacher. I observed teachers engaged and actively playing with children. Children were building structures in blocks, playing dress up and using their imagination creating art. The children were observed washing their hands and preparing for lunch. They then transitioned to outside play area. The outdoor areas had room for gross motor play and a variety of portable materials. 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/ Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) staff did not renew First Aid within the correct time frame. A.W. and B.D. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two(2) staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. .1102(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. .1103(b) Technical assistance. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment. Note: Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. First AID and CPR Item 1048 and 1049 All staff that provide direct care must complete First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: Two staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Consultation is provided as follows: We discussed moving you Annual Compliance visit to May so I would not be making visits first week of school. We discussed you are in prep year two (2) and you would get more information when it was closure to your prep year. We discussed the requirements for substitutes. We discussed that three substitutes exceeded ninety (90) days for CPR and First Aid over the summer. They have not substituted this year. They will need this completed before they can substitute again. 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 .1102 · Violation

Name of Operation: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 17 Completed Date: 9/19/2023 Age: From 3 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. You received a signed copy of the visit summary today. Today, Ms. Carver, accompanied me in the her Pre-K classrooms. 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-five (85)percentage as of 9/19/23. Permit type – Five Stars Effective on December 13, 2019. Special Services/Restrictions – Daytime care only; Meets reduced Ratios: Meets enhanced space. The last annual compliance visit was conducted on 9/26/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced 9/1/23. The last playground inspection was documented on 8/23/23. The last fire inspection was approved 4/18/23. The last sanitation inspection was conducted on 4/12/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Lead Teacher. I observed teachers engaged and actively playing with children. Children were building structures in blocks, playing dress up and using their imagination creating art. The children were observed washing their hands and preparing for lunch. They then transitioned to outside play area. The outdoor areas had room for gross motor play and a variety of portable materials. 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/ Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) staff did not renew First Aid within the correct time frame. A.W. and B.D. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two(2) staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. .1102(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. .1103(b) Technical assistance. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment. Note: Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. First AID and CPR Item 1048 and 1049 All staff that provide direct care must complete First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: Two staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Consultation is provided as follows: We discussed moving you Annual Compliance visit to May so I would not be making visits first week of school. We discussed you are in prep year two (2) and you would get more information when it was closure to your prep year. We discussed the requirements for substitutes. We discussed that three substitutes exceeded ninety (90) days for CPR and First Aid over the summer. They have not substituted this year. They will need this completed before they can substitute again. 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 17 Completed Date: 9/19/2023 Age: From 3 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. You received a signed copy of the visit summary today. Today, Ms. Carver, accompanied me in the her Pre-K classrooms. 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-five (85)percentage as of 9/19/23. Permit type – Five Stars Effective on December 13, 2019. Special Services/Restrictions – Daytime care only; Meets reduced Ratios: Meets enhanced space. The last annual compliance visit was conducted on 9/26/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced 9/1/23. The last playground inspection was documented on 8/23/23. The last fire inspection was approved 4/18/23. The last sanitation inspection was conducted on 4/12/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Lead Teacher. I observed teachers engaged and actively playing with children. Children were building structures in blocks, playing dress up and using their imagination creating art. The children were observed washing their hands and preparing for lunch. They then transitioned to outside play area. The outdoor areas had room for gross motor play and a variety of portable materials. 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/ Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) staff did not renew First Aid within the correct time frame. A.W. and B.D. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two(2) staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. .1102(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. .1103(b) Technical assistance. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment. Note: Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. First AID and CPR Item 1048 and 1049 All staff that provide direct care must complete First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: Two staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Consultation is provided as follows: We discussed moving you Annual Compliance visit to May so I would not be making visits first week of school. We discussed you are in prep year two (2) and you would get more information when it was closure to your prep year. We discussed the requirements for substitutes. We discussed that three substitutes exceeded ninety (90) days for CPR and First Aid over the summer. They have not substituted this year. They will need this completed before they can substitute again. 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: UP, UP AND AWAY - CARTOOGECHAYE SCHOOL Facility ID: 56000144 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 17 Completed Date: 9/19/2023 Age: From 3 To 5 Total Minutes: 215 Time In: 10:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Crystal Carver, Lead Teacher, during the visit. You received a signed copy of the visit summary today. Today, Ms. Carver, accompanied me in the her Pre-K classrooms. 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-five (85)percentage as of 9/19/23. Permit type – Five Stars Effective on December 13, 2019. Special Services/Restrictions – Daytime care only; Meets reduced Ratios: Meets enhanced space. The last annual compliance visit was conducted on 9/26/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced 9/1/23. The last playground inspection was documented on 8/23/23. The last fire inspection was approved 4/18/23. The last sanitation inspection was conducted on 4/12/23 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I introduced my presence to the Lead Teacher. I observed teachers engaged and actively playing with children. Children were building structures in blocks, playing dress up and using their imagination creating art. The children were observed washing their hands and preparing for lunch. They then transitioned to outside play area. The outdoor areas had room for gross motor play and a variety of portable materials. 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/ Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two (2) staff did not renew First Aid within the correct time frame. A.W. and B.D. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two(2) staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. .1102(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. .1103(b) Technical assistance. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment. Note: Two (2) substitutes did not complete HEALTH AND SAFETY TRAINING within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. First AID and CPR Item 1048 and 1049 All staff that provide direct care must complete First Aid and CPR training within ninety (90) days of employment and it must be renewed on or before expiration date. Note: Two staff did not renew CPR and First Aid within the correct time frame. A.W. and B.D. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's Effective April 1, 2022 55 completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. Consultation is provided as follows: We discussed moving you Annual Compliance visit to May so I would not be making visits first week of school. We discussed you are in prep year two (2) and you would get more information when it was closure to your prep year. We discussed the requirements for substitutes. We discussed that three substitutes exceeded ninety (90) days for CPR and First Aid over the summer. They have not substituted this year. They will need this completed before they can substitute again. 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