Clear Creek Elementary Psam-Pspm-Plus

10A NCAC 09 .1102 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and signed by, Crystal Jones, Director, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Crystal Jones, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven (97) percentage as of 1/6/2026. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/19/25. The last lockdown drill was practiced on 11/19/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed 6/10/24 without hazards. Upon arrival, I made my presence known to Crystal Jones, Director and Chilsea Baca, Group Leader. Both staff were preparing the space for the arrival of the children. The children were observed arriving, toileting, washing hands and choosing activities provided. They snack served was applesauce, crackers, and milk. All interactions were positive. Supervision was adequate. There are zero (0) newly hired staff and three (3) existing staff. One (1) existing staff file was monitored during today’s visit. Four (4) child files were monitored for child care regulations during today’s visit. The staff and training worksheet was not available during today’s visit. Crystal Jones, Director, will email the staff and training worksheet no later than Friday, Jan. 9th, 2026. Upon receiving the staff and training worksheet, it will be monitored. If any violations are detected, they will be added to today’s visit summary and the facility will receive a visit addendum, including a due date for correction. Per Session Law 2025-36, this facility no longer is required to have annual fire and sanitation inspections. In addition, per Session Law 2025-36, the restriction stating "Playground does not meet NC child care licensing safety rules standards" will be removed from the facility's permit. A new permit will be issued. 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/ Transportation is provided during the summer. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. GS 110-91(12); .0508(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon arrival, health documents were not stored in a file separate from the personnel file. .0701(d) Technical assistance provided as follows 428- Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. A current activity plan was posted during today’s visit for correction. No further action is required. I suggest posting the next week’s activity plan at the end of the work day each Friday. 1890- Upon arrival, health documents were not stored in a file separate from the personnel file. The health documents were placed in a file separate from the personnel file for correction. No further action is required. I suggest reminding all staff to store all health documents in a file stored separately from the personnel files. Consultation is provided as follows: Staff, C.J.'s criminal background letter expires 8/30/26. I suggest starting the renewal process at least three months prior to the expiration. Staff, C.J.'s CPR and FA training expires 4/8/26. I suggest checking all staff's CPR and FA expiration dates and schedule the trainings as soon as possible. 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. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and signed by, Crystal Jones, Director, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Crystal Jones, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven (97) percentage as of 1/6/2026. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/19/25. The last lockdown drill was practiced on 11/19/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed 6/10/24 without hazards. Upon arrival, I made my presence known to Crystal Jones, Director and Chilsea Baca, Group Leader. Both staff were preparing the space for the arrival of the children. The children were observed arriving, toileting, washing hands and choosing activities provided. They snack served was applesauce, crackers, and milk. All interactions were positive. Supervision was adequate. There are zero (0) newly hired staff and three (3) existing staff. One (1) existing staff file was monitored during today’s visit. Four (4) child files were monitored for child care regulations during today’s visit. The staff and training worksheet was not available during today’s visit. Crystal Jones, Director, will email the staff and training worksheet no later than Friday, Jan. 9th, 2026. Upon receiving the staff and training worksheet, it will be monitored. If any violations are detected, they will be added to today’s visit summary and the facility will receive a visit addendum, including a due date for correction. Per Session Law 2025-36, this facility no longer is required to have annual fire and sanitation inspections. In addition, per Session Law 2025-36, the restriction stating "Playground does not meet NC child care licensing safety rules standards" will be removed from the facility's permit. A new permit will be issued. 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/ Transportation is provided during the summer. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. GS 110-91(12); .0508(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon arrival, health documents were not stored in a file separate from the personnel file. .0701(d) Technical assistance provided as follows 428- Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. A current activity plan was posted during today’s visit for correction. No further action is required. I suggest posting the next week’s activity plan at the end of the work day each Friday. 1890- Upon arrival, health documents were not stored in a file separate from the personnel file. The health documents were placed in a file separate from the personnel file for correction. No further action is required. I suggest reminding all staff to store all health documents in a file stored separately from the personnel files. Consultation is provided as follows: Staff, C.J.'s criminal background letter expires 8/30/26. I suggest starting the renewal process at least three months prior to the expiration. Staff, C.J.'s CPR and FA training expires 4/8/26. I suggest checking all staff's CPR and FA expiration dates and schedule the trainings as soon as possible. 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. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and signed by, Crystal Jones, Director, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Crystal Jones, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven (97) percentage as of 1/6/2026. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/19/25. The last lockdown drill was practiced on 11/19/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed 6/10/24 without hazards. Upon arrival, I made my presence known to Crystal Jones, Director and Chilsea Baca, Group Leader. Both staff were preparing the space for the arrival of the children. The children were observed arriving, toileting, washing hands and choosing activities provided. They snack served was applesauce, crackers, and milk. All interactions were positive. Supervision was adequate. There are zero (0) newly hired staff and three (3) existing staff. One (1) existing staff file was monitored during today’s visit. Four (4) child files were monitored for child care regulations during today’s visit. The staff and training worksheet was not available during today’s visit. Crystal Jones, Director, will email the staff and training worksheet no later than Friday, Jan. 9th, 2026. Upon receiving the staff and training worksheet, it will be monitored. If any violations are detected, they will be added to today’s visit summary and the facility will receive a visit addendum, including a due date for correction. Per Session Law 2025-36, this facility no longer is required to have annual fire and sanitation inspections. In addition, per Session Law 2025-36, the restriction stating "Playground does not meet NC child care licensing safety rules standards" will be removed from the facility's permit. A new permit will be issued. 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/ Transportation is provided during the summer. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. GS 110-91(12); .0508(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon arrival, health documents were not stored in a file separate from the personnel file. .0701(d) Technical assistance provided as follows 428- Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. A current activity plan was posted during today’s visit for correction. No further action is required. I suggest posting the next week’s activity plan at the end of the work day each Friday. 1890- Upon arrival, health documents were not stored in a file separate from the personnel file. The health documents were placed in a file separate from the personnel file for correction. No further action is required. I suggest reminding all staff to store all health documents in a file stored separately from the personnel files. Consultation is provided as follows: Staff, C.J.'s criminal background letter expires 8/30/26. I suggest starting the renewal process at least three months prior to the expiration. Staff, C.J.'s CPR and FA training expires 4/8/26. I suggest checking all staff's CPR and FA expiration dates and schedule the trainings as soon as possible. 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. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and signed by, Crystal Jones, Director, after the visit. An electronic signed copy of the visit summary was left on-site. Today, Crystal Jones, Director, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven (97) percentage as of 1/6/2026. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/19/25. The last lockdown drill was practiced on 11/19/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed 6/10/24 without hazards. Upon arrival, I made my presence known to Crystal Jones, Director and Chilsea Baca, Group Leader. Both staff were preparing the space for the arrival of the children. The children were observed arriving, toileting, washing hands and choosing activities provided. They snack served was applesauce, crackers, and milk. All interactions were positive. Supervision was adequate. There are zero (0) newly hired staff and three (3) existing staff. One (1) existing staff file was monitored during today’s visit. Four (4) child files were monitored for child care regulations during today’s visit. The staff and training worksheet was not available during today’s visit. Crystal Jones, Director, will email the staff and training worksheet no later than Friday, Jan. 9th, 2026. Upon receiving the staff and training worksheet, it will be monitored. If any violations are detected, they will be added to today’s visit summary and the facility will receive a visit addendum, including a due date for correction. Per Session Law 2025-36, this facility no longer is required to have annual fire and sanitation inspections. In addition, per Session Law 2025-36, the restriction stating "Playground does not meet NC child care licensing safety rules standards" will be removed from the facility's permit. A new permit will be issued. 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/ Transportation is provided during the summer. The following violations were documented during today’s visit Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. GS 110-91(12); .0508(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Upon arrival, health documents were not stored in a file separate from the personnel file. .0701(d) Technical assistance provided as follows 428- Upon arrival, the activity plan posted was dated 11/24/25-11/28/25. A current activity plan was posted during today’s visit for correction. No further action is required. I suggest posting the next week’s activity plan at the end of the work day each Friday. 1890- Upon arrival, health documents were not stored in a file separate from the personnel file. The health documents were placed in a file separate from the personnel file for correction. No further action is required. I suggest reminding all staff to store all health documents in a file stored separately from the personnel files. Consultation is provided as follows: Staff, C.J.'s criminal background letter expires 8/30/26. I suggest starting the renewal process at least three months prior to the expiration. Staff, C.J.'s CPR and FA training expires 4/8/26. I suggest checking all staff's CPR and FA expiration dates and schedule the trainings as soon as possible. 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. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .2318 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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 .2703 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 19 Completed Date: 1/16/2025 Age: From 5 To 11 Total Minutes: 160 Time In: 02:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Natasha Garren, Director, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Natasha Garren, Director, was available to assist. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 1/15/2025. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 1/29/24. The last fire drill was practiced on 12/18/24. The last lockdown drill was practiced on 11/23/24. The last playground inspection was documented on 12/19/24. The last fire inspection was approved on 8/6/24. The last sanitation inspection was conducted on 8/20/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I introduced my presence to Natasha Garren, Director. I observed the group with five to eleven-year-old children engaged in free choice play activities and having snack. The activities included checkers, ice cream shop dramatic play, dry erase board, vehicles, puzzles, arts, crafts, and a dramatic play garage set. The snack served today was milk and cheddar flavored chex mix. The groups transitioned to outdoor free play before parent pick up time. All interactions were positive, supervision was adequate. There is one (1) newly hired substitute staff. The substitute staff file was not available for monitoring. There are two (2) existing staff. One (1) existing staff file was monitored for child care requirements. There are forty-one (41) children enrolled. Four (4) child files were monitored for child care requirements. The staff and training worksheet was not completed, nor available for monitoring during today’s visit. The staff and training worksheet will need to be submitted via email, no later than 1/21/25. Any violations documented upon review of the submitted staff and training worksheet will be documented on a visit addendum and added to today’s visit summary for correction. This program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated 12/9/-12/13/2024. GS 110-91(12); .0508(a) 1739 All records required were not available for review by a representative of the Division. Staff, M.M’s file was not available for monitoring. .2318(1-8) 1757 A valid qualification letter was not on file and available to review at the facility. Staff, M.M's valid qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION. Staff, M.M’s file was not available for monitoring. We discussed that any staff traveling to work at a different site under the same ownership it would be recommended to have a traveling file, either paper or electronic or have a copy of their file at each site. Having access to staff files ensures the ability to access emergency information as well as monitoring for child care requirements by a representative of DCDEE. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS. Staff, M.M. has a criminal background qualifying letter valid until 11/19/25, per the ABCMS website. However, the valid qualifying letter was not on file. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS A current activity plan was not posted. The posted activity plan was dated 12/9/-12/13/2024. The activity plan provides a summary of the activities that will be offered daily throughout the week. Providing the activities on the activity plan helps in being prepared to offer the activities to the children. A daily outdoor gross motor activity must be on the activity plan and can be performed either outdoors or indoors, weather permitting. Plan to submit the program's staff and training worksheet via email, no later than 1/21/25. Any violations documented upon review of the worksheet, will be cited on an addendum and added to today's visit summary for correction. Due to Tropical Storm Helene and the State of Emergency, the scheduled fire drill for September 27, 2024, was not conducted. The program was closed 9/26/24-10/25/24. Programs are expected to maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@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: 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 is required to be completed by May 31, 2025. 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) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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 .0607 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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 .0701 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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: CLEAR CREEK ELEMENTARY PSAM-PSPM-PLUS Facility ID: 45000210 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 19 Completed Date: 1/29/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 Dawn McCrary, Child Care Consultant and also signed by, Ardith London, Director, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Group Leader, Chelsea Baca and Director, Ardith London were available to assist during the visit and answer any questions. The indoor and outdoor areas were monitored, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percentage as of 1/28/24. Permit type – Four Star Child Care License issued 5/26/17 earning five (5) points in Staff Education; five (5) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; School age children only; Playground does not meet NC child care licensing safety rules standards; Meets enhanced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/2/23. The last fire drill was practiced on 12/5/23. The last lockdown drill was practiced on 1/10/24. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 10/5/23. The last sanitation inspection was conducted on 1/16/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. Upon arrival I introduced my presence to Chelsea Baca, Group Leader, and Ardith London, Director. They were observed setting up play centers and materials prior to the children’s arrival. As the children arrived, the children use clean their hands, place personal belongings in individual bins and take turns going to the restroom and washing hands. There were many activities to choose from for the children including puzzles, art materials, dramatic play materials, books, games journals and building materials. The snack served today was cheese flavored crackers and milk. The outdoor space offers adequate space for running and vigorous play with portable materials to enhance play. All staff interactions were positive and nurturing. Supervision was adequate. The facility’s staff and training worksheet was completed during today’s visit and monitored for child care requirements. There is one (1) newly hired staff. The newly hired staff file was monitored for child care requirements. One (1) existing staff file was also monitored. There are thirty-nine (39) children enrolled. Four (4) child files were monitored for child care requirements. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. last reviewed the EPR plan 2/23/22 .0607(f) Technical assistance provided 1811-Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). A lockdown drill was practiced 9/5/23 and the next lockdown or shelter in place drill was practiced 1/10/24. Plan to use a calendar to add reminders for all required drills. 1825-All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff C.B. reviewed the EPR plan 2/23/22. Plan to review the EPR plan on the same day the EMC plan is reviewed each year. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. #1032-Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff A.L. has a medical statement on file that was older than 12 months of her hire date. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Plan to have future hired staff provide current medical reports before beginning the first day of work. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Consultation is provided as follows: Environmental Rating Assessment process. Clear Creek PSAM-PSPM-PLUS is in cohort 1. Your preparation year is July 2023 to June 20a.24. Your assessment year will be July 2024 to June 2025. Ensure all staff have updated WORKS accounts for education point calculations. Dawn McCrary provided you with the following resources from NCRLAP: Preparation Year: Activities and Ideas for Cohorts 1, 2, and 3 Preparation Year: Environmental Rating Scale (ERS) Assessments 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 dawn.mccrary@dhhs.nc.gov or 828.556-3088, 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