Wncsource Sugar Hill Children'S Center

10A NCAC 09 .0802 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0226-180L Visit Date: 2/27/2026 Number Present: 56 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. Due to time constraints, a hand typed report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Site Supervisor, Allison Reynolds, during the visit. A signed copy of the visit summary was left on-site. A Regulatory computer generated visit summary was completed and reviewed by TEAMS with you, Allison Reynolds, Site Supervisor on 3/2/2026. The computer generated visit summary was emailed to you for signature. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 2/27/2026. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. Provides Head Start. Provides NC Pre K. The center’s compliance history was reviewed with the operator. The program’s compliance history is one hundred percent (100%) as of 02/26/2026. The Site Supervisor, Allison Reynolds, assisted me during the visit. The complaint was received by the Division of Child Development and Early Education on 02/19/2026 and sent to me on 02/19/2026. In addition to addressing the allegation, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and a walk-through of the facility was conducted. Eight (8) staff files, one (1) child file, the facility’s incident log, classroom First Aid postings, and the facility’s Emergency Medical Care Plan (EMC) were monitored during today’s visit. The allegation within the report included the following: • The staff did not follow procedures for a medical emergency. There is an allegation reported that a two-year-old child showed the following symptoms with no procedures for a medical emergency taking place: • Dry heaving • Eyes rolling back in head • Acting confused and disoriented • Unable to respond normally • Experiencing involuntary body movements During today’s visit, Eight (8) staff, including three (3) caregivers, one (1) family advocate, and four (4) administration staff, were interviewed. Based on the interviews conducted on 2/27/2026, the caregivers of the child experiencing the above signs and symptoms, were consistent in their reports of witnessing the signs and symptoms of a two year old child possibly having a seizure based on their First Aid training. The caregivers notified support staff and administrative staff of a "medical emergency". No emergency medical care action was provided to the child. The allegation : The staff did not follow procedures for a medical emergency is substantiated. 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 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. A name for at least one alternate person was not listed on the facility’s EMC plan. .0802(a)(1)(A-B); 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for a child that received medical attention off site on 2/16/2026 was provided via email to Dawn McCrary, Child Care Consultant, from Alison Reynolds, Site Supervisor, on February 20, 2026. The incident report did not include all required information. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility’s EMC plan was revised 1/16/2026, however, it was not reviewed with the staff. 10A NCAC 09 .0802(a) 873 Center staff did not follow the EMC plan. The named individual responsible for carrying out the plan of action did not contact 911, in accordance with First Aid training, for a two year old child that showed signs and symptoms that could be identified as a seizure on 2/16/2026. 10A NCAC 09.0802(a) Emergency Medical Care Plan 837- The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. A name for at least one alternate person was not listed on the facility’s EMC plan. 862- The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility’s EMC plan was revised 1/16/2026, however, it was not reviewed with the staff. EMERGENCY MEDICAL CARE 852- Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for a child that received medical attention off site on 2/16/2026 was provided via email to Dawn McCrary, Child Care Consultant, from Allison Reynolds, Site Supervisor, on February 20, 2026. The incident report did not include all required information. The incident report was discussed during today’s visit by Dawn McCrary and Allison Reynolds and is in the process of being corrected to be submitted to Dawn McCrary by Alison Reynolds. 873- Center staff did not follow the EMC plan. The named individual responsible for carrying out the plan of action did not contact 911, in accordance with First Aid training, for a two year old child that showed signs and symptoms that could be identified as a seizure on 2/16/2026. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/13/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: 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. 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 09.0802 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0226-180L Visit Date: 2/27/2026 Number Present: 56 Completed Date: 3/2/2026 Age: From 0 To 5 Total Minutes: 390 Time In: 10:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. Due to time constraints, a hand typed report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Site Supervisor, Allison Reynolds, during the visit. A signed copy of the visit summary was left on-site. A Regulatory computer generated visit summary was completed and reviewed by TEAMS with you, Allison Reynolds, Site Supervisor on 3/2/2026. The computer generated visit summary was emailed to you for signature. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 2/27/2026. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. Provides Head Start. Provides NC Pre K. The center’s compliance history was reviewed with the operator. The program’s compliance history is one hundred percent (100%) as of 02/26/2026. The Site Supervisor, Allison Reynolds, assisted me during the visit. The complaint was received by the Division of Child Development and Early Education on 02/19/2026 and sent to me on 02/19/2026. In addition to addressing the allegation, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and a walk-through of the facility was conducted. Eight (8) staff files, one (1) child file, the facility’s incident log, classroom First Aid postings, and the facility’s Emergency Medical Care Plan (EMC) were monitored during today’s visit. The allegation within the report included the following: • The staff did not follow procedures for a medical emergency. There is an allegation reported that a two-year-old child showed the following symptoms with no procedures for a medical emergency taking place: • Dry heaving • Eyes rolling back in head • Acting confused and disoriented • Unable to respond normally • Experiencing involuntary body movements During today’s visit, Eight (8) staff, including three (3) caregivers, one (1) family advocate, and four (4) administration staff, were interviewed. Based on the interviews conducted on 2/27/2026, the caregivers of the child experiencing the above signs and symptoms, were consistent in their reports of witnessing the signs and symptoms of a two year old child possibly having a seizure based on their First Aid training. The caregivers notified support staff and administrative staff of a "medical emergency". No emergency medical care action was provided to the child. The allegation : The staff did not follow procedures for a medical emergency is substantiated. 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 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. A name for at least one alternate person was not listed on the facility’s EMC plan. .0802(a)(1)(A-B); 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for a child that received medical attention off site on 2/16/2026 was provided via email to Dawn McCrary, Child Care Consultant, from Alison Reynolds, Site Supervisor, on February 20, 2026. The incident report did not include all required information. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility’s EMC plan was revised 1/16/2026, however, it was not reviewed with the staff. 10A NCAC 09 .0802(a) 873 Center staff did not follow the EMC plan. The named individual responsible for carrying out the plan of action did not contact 911, in accordance with First Aid training, for a two year old child that showed signs and symptoms that could be identified as a seizure on 2/16/2026. 10A NCAC 09.0802(a) Emergency Medical Care Plan 837- The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. A name for at least one alternate person was not listed on the facility’s EMC plan. 862- The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The facility’s EMC plan was revised 1/16/2026, however, it was not reviewed with the staff. EMERGENCY MEDICAL CARE 852- Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for a child that received medical attention off site on 2/16/2026 was provided via email to Dawn McCrary, Child Care Consultant, from Allison Reynolds, Site Supervisor, on February 20, 2026. The incident report did not include all required information. The incident report was discussed during today’s visit by Dawn McCrary and Allison Reynolds and is in the process of being corrected to be submitted to Dawn McCrary by Alison Reynolds. 873- Center staff did not follow the EMC plan. The named individual responsible for carrying out the plan of action did not contact 911, in accordance with First Aid training, for a two year old child that showed signs and symptoms that could be identified as a seizure on 2/16/2026. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/13/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: 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. 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. 110-91 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0224-296A Visit Date: 2/26/2024 Number Present: 35 Completed Date: 2/26/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 01:05 PM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Jennifer Hill, Investigations Consultant, assisted during the visit. Allison Reynolds, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Reynolds and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member hit a two-year-old child on the forehead and moved the child by the arm. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on the failure to meet the physical needs of a two-year-old child. GS 110-105.6(a) Within one week, March 4, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Julia Armstrong, Investigations Consultant, julia.armstrong@dhhs.nc.gov, 828-228-4614. You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Consultant, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: JULIA ARMSTRONG Operation Type: Center Case Number: 0224-296A Visit Date: 2/26/2024 Number Present: 35 Completed Date: 2/26/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 01:05 PM Time Out: 02:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Jennifer Hill, Investigations Consultant, assisted during the visit. Allison Reynolds, administrator, accompanied us during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Reynolds and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member hit a two-year-old child on the forehead and moved the child by the arm. G.S. 110-91(10) 1810 There was a substantiation of child maltreatment. The Division determined child maltreatment based on the failure to meet the physical needs of a two-year-old child. GS 110-105.6(a) Within one week, March 4, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Julia Armstrong, Investigations Consultant, julia.armstrong@dhhs.nc.gov, 828-228-4614. You may contact me at Julia Armstrong, Investigations Consultant, 828-228-4614, Julia.armstrong@dhhs.nc.gov or Natosha Lambeth, Western Investigations Consultant, Natosha.lambeth@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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 .3009 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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

NC GS 110-90 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 36 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by, Allison Reynolds, Site Supervisor, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Allison Reynolds, Site Supervisor, was 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 eighty-eight (88) percentage as of 1/24/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Western Carolina Community Action, is current/active as of 1/24/24. Permit type – Five Star Child Care License issued 7/19/22 earning six (6) points in Staff Education; seven (7) points in Program Standards; and one (1) Quality Point. Permit restrictions: Daytime care only; Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted on 2/15/23. The last fire drill was practiced on 12/14/23. The last shelter-in-place drill was practiced on 12/12/23. The last playground inspection was documented on 12/11/23. The last fire inspection was approved on 3/27/23. The last sanitation inspection was conducted on 8/2/23 with eleven (11) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was current. The approved curriculum for four-year-old children is Creative Curriculum/Teaching Strategies Gold. Upon arrival I introduced my presence to Allison Reynolds, Site Supervisor. The infants were observed freely moving on the floor and interacting with the caregivers. The one year old children were observed playing musical instruments and looking at books with the caregivers. The classroom of two year olds was closed. The children in the classroom of three-four-and five year olds were observed having free choice play in the classroom after returning from a gross motor activity in the “Big Room” due to inclement weather. The children in the classroom of four and five year olds were having free choice play in the classroom. The lunch served today was chicken , rice, peas, pears and milk. The outdoor space offers adequate space for running and vigorous play with a natural theme. 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. The program does not provide transportation. There are eight (8) newly hired staff and nine (9) existing staff. The newly hired staff files were monitored for compliance of child care requirements. One (1) existing staff file was monitored as well. There are fifty-eight (58) children enrolled. Six (6) child files were monitored for compliance of child care regulations. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files was monitored for completed health assessments and developmental screenings. 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 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive FA training within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff, per the staff and training worksheet, did not receive CPR training within 90 days of hire. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. .0604(u);.0302(d)(8) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. No current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. .0607(b) Technical assistance was provided as follows: 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet 0A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Dish liquid and bulk handwashing soap was stored in unlocked storage. The dish liquid and soap was placed in locked storage during the visit. Ensure all staff know the proper storage of materials in the classroom. 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 shelter-in place or lockdown drill was practiced 2/27/23 and the next shelter-in place or lockdown drill was practiced 6/26/23. Use a calendar for a reminder of due dates of all emergency drills. 1827-The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Due to a change in administration, no current staff have taken the EPR training within 4 months of the absence of the staff that had the training previously. Plan to schedule the training through Child and Family Resource Center immediately. #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. One staff, per the staff and training worksheet, did not receive CPR and FA within 90 days of hire. Plan to ensure all newly hired staff are trained in CPR and FA within 90 days of hire by using a calendar for reminder. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/8/24. 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: 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 37 Completed Date: 9/19/2023 Age: From 1 To 4 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Bonnie Mathis, Licensing Supervisor, accompanied me today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and signed by Kelly Pittman, Administrator, during the visit. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 9/18/23. The compliance history for this facility was eighty-seven (87) percent as of 9/18/23. Upon arrival, We made our presence known to Juan Unda-Azua, Site Supervisor Trainee and Allison Reynolds, Assistant Site Supervisor. Kelly Pittman, Administrator, arrived approximately ten minutes after our arrival. Mr. Unda-Azua, Ms. Reynolds and Ms. Pittman, assisted during the visit. The children in space #2 were observed participating in a movement activity and free choice play in the classroom. The children in space #4 were observed participating in a large group musical instrument activity before transitioning to the outdoor playground. The children in spaces #6 and #10 were observed participating in free choice play on the playground. All interactions were positive. Supervision was adequate. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. There is four (4) newly hired staff. The newly hired staff files were monitored and a staff and training worksheet was completed for the newly hired staff. medications were on site and monitored for child care requirements. The CPR and First Aid trainings were monitored during the visit. Criminal background qualifying letters were monitored during the visit. The required inspections, fire drills, shelter-in-place drills, and lock down drills have been practiced as required by child care regulations. Upon review of the working file for this facility, it was noticed that playground diagrams were not on file. During today's visit, the four (4) outdoor playgrounds were measured and a diagram was created. Outdoor space #1 (one and two year old classroom) is approved for seventeen (17) children at one hundred 100) square feet. Outdoor space #2 (two year old classroom) is approved for twelve (12) children at one hundred (100) square feet. Outdoor space #3 (not routinely used) is approved for eleven (11) children at one hundred (100) square feet. Outdoor space #4 (Head Start/NC Pre K) is approved for eighteen (18) children at one hundred (100) square feet. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. .2820(b) Technical assistance was provided as follows: #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. This was corrected during the visit. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances shall be stored below or separate from medications and food. Consultation is provided as follows: On the playground for one-and-two-year-olds, a variety of outdoor play equipment needs to be provided to meet the gross motor domains. You stated there will be an administrative and Site Supervisor change soon. The facility’s EPR and EMC plans must be updated when changes occur. The plans must then be reviewed with all staff and documentation of the reviews must be on file. Add information to the facility’s safe arrival and departure policy to include details specific to the facility. Environmental Rating Scale Assessment: WNCSource Sugar Hill Children’s Center is in cohort 3. Your preparation year is July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Please contact the Child and Family Resource Center to provide technical assistance during the prep year if desired. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 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 .0902 · Violation

Name of Operation: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 37 Completed Date: 9/19/2023 Age: From 1 To 4 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Bonnie Mathis, Licensing Supervisor, accompanied me today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and signed by Kelly Pittman, Administrator, during the visit. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 9/18/23. The compliance history for this facility was eighty-seven (87) percent as of 9/18/23. Upon arrival, We made our presence known to Juan Unda-Azua, Site Supervisor Trainee and Allison Reynolds, Assistant Site Supervisor. Kelly Pittman, Administrator, arrived approximately ten minutes after our arrival. Mr. Unda-Azua, Ms. Reynolds and Ms. Pittman, assisted during the visit. The children in space #2 were observed participating in a movement activity and free choice play in the classroom. The children in space #4 were observed participating in a large group musical instrument activity before transitioning to the outdoor playground. The children in spaces #6 and #10 were observed participating in free choice play on the playground. All interactions were positive. Supervision was adequate. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. There is four (4) newly hired staff. The newly hired staff files were monitored and a staff and training worksheet was completed for the newly hired staff. medications were on site and monitored for child care requirements. The CPR and First Aid trainings were monitored during the visit. Criminal background qualifying letters were monitored during the visit. The required inspections, fire drills, shelter-in-place drills, and lock down drills have been practiced as required by child care regulations. Upon review of the working file for this facility, it was noticed that playground diagrams were not on file. During today's visit, the four (4) outdoor playgrounds were measured and a diagram was created. Outdoor space #1 (one and two year old classroom) is approved for seventeen (17) children at one hundred 100) square feet. Outdoor space #2 (two year old classroom) is approved for twelve (12) children at one hundred (100) square feet. Outdoor space #3 (not routinely used) is approved for eleven (11) children at one hundred (100) square feet. Outdoor space #4 (Head Start/NC Pre K) is approved for eighteen (18) children at one hundred (100) square feet. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. .2820(b) Technical assistance was provided as follows: #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. This was corrected during the visit. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances shall be stored below or separate from medications and food. Consultation is provided as follows: On the playground for one-and-two-year-olds, a variety of outdoor play equipment needs to be provided to meet the gross motor domains. You stated there will be an administrative and Site Supervisor change soon. The facility’s EPR and EMC plans must be updated when changes occur. The plans must then be reviewed with all staff and documentation of the reviews must be on file. Add information to the facility’s safe arrival and departure policy to include details specific to the facility. Environmental Rating Scale Assessment: WNCSource Sugar Hill Children’s Center is in cohort 3. Your preparation year is July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Please contact the Child and Family Resource Center to provide technical assistance during the prep year if desired. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 37 Completed Date: 9/19/2023 Age: From 1 To 4 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Bonnie Mathis, Licensing Supervisor, accompanied me today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and signed by Kelly Pittman, Administrator, during the visit. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 9/18/23. The compliance history for this facility was eighty-seven (87) percent as of 9/18/23. Upon arrival, We made our presence known to Juan Unda-Azua, Site Supervisor Trainee and Allison Reynolds, Assistant Site Supervisor. Kelly Pittman, Administrator, arrived approximately ten minutes after our arrival. Mr. Unda-Azua, Ms. Reynolds and Ms. Pittman, assisted during the visit. The children in space #2 were observed participating in a movement activity and free choice play in the classroom. The children in space #4 were observed participating in a large group musical instrument activity before transitioning to the outdoor playground. The children in spaces #6 and #10 were observed participating in free choice play on the playground. All interactions were positive. Supervision was adequate. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. There is four (4) newly hired staff. The newly hired staff files were monitored and a staff and training worksheet was completed for the newly hired staff. medications were on site and monitored for child care requirements. The CPR and First Aid trainings were monitored during the visit. Criminal background qualifying letters were monitored during the visit. The required inspections, fire drills, shelter-in-place drills, and lock down drills have been practiced as required by child care regulations. Upon review of the working file for this facility, it was noticed that playground diagrams were not on file. During today's visit, the four (4) outdoor playgrounds were measured and a diagram was created. Outdoor space #1 (one and two year old classroom) is approved for seventeen (17) children at one hundred 100) square feet. Outdoor space #2 (two year old classroom) is approved for twelve (12) children at one hundred (100) square feet. Outdoor space #3 (not routinely used) is approved for eleven (11) children at one hundred (100) square feet. Outdoor space #4 (Head Start/NC Pre K) is approved for eighteen (18) children at one hundred (100) square feet. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. .2820(b) Technical assistance was provided as follows: #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. This was corrected during the visit. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances shall be stored below or separate from medications and food. Consultation is provided as follows: On the playground for one-and-two-year-olds, a variety of outdoor play equipment needs to be provided to meet the gross motor domains. You stated there will be an administrative and Site Supervisor change soon. The facility’s EPR and EMC plans must be updated when changes occur. The plans must then be reviewed with all staff and documentation of the reviews must be on file. Add information to the facility’s safe arrival and departure policy to include details specific to the facility. Environmental Rating Scale Assessment: WNCSource Sugar Hill Children’s Center is in cohort 3. Your preparation year is July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Please contact the Child and Family Resource Center to provide technical assistance during the prep year if desired. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 37 Completed Date: 9/19/2023 Age: From 1 To 4 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Bonnie Mathis, Licensing Supervisor, accompanied me today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and signed by Kelly Pittman, Administrator, during the visit. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 9/18/23. The compliance history for this facility was eighty-seven (87) percent as of 9/18/23. Upon arrival, We made our presence known to Juan Unda-Azua, Site Supervisor Trainee and Allison Reynolds, Assistant Site Supervisor. Kelly Pittman, Administrator, arrived approximately ten minutes after our arrival. Mr. Unda-Azua, Ms. Reynolds and Ms. Pittman, assisted during the visit. The children in space #2 were observed participating in a movement activity and free choice play in the classroom. The children in space #4 were observed participating in a large group musical instrument activity before transitioning to the outdoor playground. The children in spaces #6 and #10 were observed participating in free choice play on the playground. All interactions were positive. Supervision was adequate. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. There is four (4) newly hired staff. The newly hired staff files were monitored and a staff and training worksheet was completed for the newly hired staff. medications were on site and monitored for child care requirements. The CPR and First Aid trainings were monitored during the visit. Criminal background qualifying letters were monitored during the visit. The required inspections, fire drills, shelter-in-place drills, and lock down drills have been practiced as required by child care regulations. Upon review of the working file for this facility, it was noticed that playground diagrams were not on file. During today's visit, the four (4) outdoor playgrounds were measured and a diagram was created. Outdoor space #1 (one and two year old classroom) is approved for seventeen (17) children at one hundred 100) square feet. Outdoor space #2 (two year old classroom) is approved for twelve (12) children at one hundred (100) square feet. Outdoor space #3 (not routinely used) is approved for eleven (11) children at one hundred (100) square feet. Outdoor space #4 (Head Start/NC Pre K) is approved for eighteen (18) children at one hundred (100) square feet. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. .2820(b) Technical assistance was provided as follows: #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. This was corrected during the visit. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances shall be stored below or separate from medications and food. Consultation is provided as follows: On the playground for one-and-two-year-olds, a variety of outdoor play equipment needs to be provided to meet the gross motor domains. You stated there will be an administrative and Site Supervisor change soon. The facility’s EPR and EMC plans must be updated when changes occur. The plans must then be reviewed with all staff and documentation of the reviews must be on file. Add information to the facility’s safe arrival and departure policy to include details specific to the facility. Environmental Rating Scale Assessment: WNCSource Sugar Hill Children’s Center is in cohort 3. Your preparation year is July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Please contact the Child and Family Resource Center to provide technical assistance during the prep year if desired. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 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: WNCSOURCE SUGAR HILL CHILDREN'S CENTER Facility ID: 45000144 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 37 Completed Date: 9/19/2023 Age: From 1 To 4 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Bonnie Mathis, Licensing Supervisor, accompanied me today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant, Bonnie Mathis, Licensing Supervisor, and signed by Kelly Pittman, Administrator, during the visit. Upon review of the Secretary of State Website, the Non-Profit Corporation, Western Carolina Community Action is current-active as of 9/18/23. The compliance history for this facility was eighty-seven (87) percent as of 9/18/23. Upon arrival, We made our presence known to Juan Unda-Azua, Site Supervisor Trainee and Allison Reynolds, Assistant Site Supervisor. Kelly Pittman, Administrator, arrived approximately ten minutes after our arrival. Mr. Unda-Azua, Ms. Reynolds and Ms. Pittman, assisted during the visit. The children in space #2 were observed participating in a movement activity and free choice play in the classroom. The children in space #4 were observed participating in a large group musical instrument activity before transitioning to the outdoor playground. The children in spaces #6 and #10 were observed participating in free choice play on the playground. All interactions were positive. Supervision was adequate. The following areas were monitored: Supervision Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training, if applicable Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted/ Permit Restrictions. There is four (4) newly hired staff. The newly hired staff files were monitored and a staff and training worksheet was completed for the newly hired staff. medications were on site and monitored for child care requirements. The CPR and First Aid trainings were monitored during the visit. Criminal background qualifying letters were monitored during the visit. The required inspections, fire drills, shelter-in-place drills, and lock down drills have been practiced as required by child care regulations. Upon review of the working file for this facility, it was noticed that playground diagrams were not on file. During today's visit, the four (4) outdoor playgrounds were measured and a diagram was created. Outdoor space #1 (one and two year old classroom) is approved for seventeen (17) children at one hundred 100) square feet. Outdoor space #2 (two year old classroom) is approved for twelve (12) children at one hundred (100) square feet. Outdoor space #3 (not routinely used) is approved for eleven (11) children at one hundred (100) square feet. Outdoor space #4 (Head Start/NC Pre K) is approved for eighteen (18) children at one hundred (100) square feet. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. .2820(b) Technical assistance was provided as follows: #541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) feeding schedules were not dated when received by the center. This was corrected during the visit. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Twi (2) bottles of Benadryl were stored together with cleaning products. Toxic substances shall be stored below or separate from medications and food. This was corrected during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances shall be stored below or separate from medications and food. Consultation is provided as follows: On the playground for one-and-two-year-olds, a variety of outdoor play equipment needs to be provided to meet the gross motor domains. You stated there will be an administrative and Site Supervisor change soon. The facility’s EPR and EMC plans must be updated when changes occur. The plans must then be reviewed with all staff and documentation of the reviews must be on file. Add information to the facility’s safe arrival and departure policy to include details specific to the facility. Environmental Rating Scale Assessment: WNCSource Sugar Hill Children’s Center is in cohort 3. Your preparation year is July 2025 to June 2026. Your assessment year will be July 2026 to June 2027. Please contact the Child and Family Resource Center to provide technical assistance during the prep year if desired. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. 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 me, 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 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