Wncsource Tebeau Children'S Center

10A NCAC 09 .1801 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0426-268L Visit Date: 4/28/2026 Number Present: 66 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 10:45 AM Time Out: 02:00 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 technological issues, a hand written report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit and left on site. An electronic copy of the visit summary was emailed to April Barrett, Site Supervisor on 4/29/2026. April Barrett, Site Supervisor, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-five percent (95%) as of 04/27/2026. The program currently operates with a four-star license, issued 4/5/2024, earning four (4) points in the education component, seven (7) points in the program standards component, and 1 quality point for using a staff benefits package and infrastructure of parent involvement. Restrictions: Daytime care only; No cooking allowed in building; Meets reduced staff/child ratios; Developmental Day Certified; Meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 04/20/2026 and sent to me on 04/20/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, and license posted was also monitored. A walkthrough of the entire center was conducted to include six (6) classrooms in operation today. During today’s walkthrough, all classrooms were in compliance with staff/child ratio. The children were observed having routine care, playing on the playground, and in learning centers in the classrooms. All interactions were positive and supervision was adequate. There is an allegation regarding supervision. The allegation is regarding children that left a classroom for approximately ten (10) minutes before the teacher noticed and alerted other staff. The children were retrieved by other staff and returned to the classroom. April Barrett, Site Supervisor, was interviewed during today’s visit regarding the supervision concern. Ms. Barrett stated that she was aware of an incident which occurred on the playground on 4/2/2026, in the afternoon during “Wraparound” hours. Three (3) children were able to leave the playground as one of the children climbed the gate and opened the gate’s latch to access the unfenced area. The teacher was aware the children left the playground but was unable to get them to return. The teacher did not want to leave the other children unsupervised to retrieve the three (3) children that had left the playground. The teacher knocked on the classroom window, located on the playground, to alert the staff in that room. Two (2) staff immediately ran outside to assist. The facility’s Family Advocate was able to get to the children and guided them to return to the playground. The facility’s Family Advocate was interviewed today and stated that the children were outside of the playground for less than one (1) minute total. The parents of the children that left the playground were informed of the incident. The teaching staff that was supervising the children during the incident was not available today due to working at a public school until later in the afternoon. Due to this incident, April Barrett, Site Supervisor, stated that the agency’s facilities maintenance department was notified to make the playground gate more secure as it is on a hill and easy to climb and open. The playground will not be used until a more secure way of closing the gate is installed. A separate playground with a more secure gate has been used in the afternoons, as well as two (2) staff are now required on the playground to adequately supervise the children. Ms. Barrett stated that the staff have been instructed to strategically place themselves on the playgrounds to adequately supervise the children and ensure the gate is not opened by the children. The distance the children walked along the outside of the playground fence was measured during today’s visit by Dawn McCrary, Child Care Consultant. It measured approximately fifty (50) feet. The playground gate that was opened by the children was monitored during today’s visit. The gate uses a standard, lever-type closing device which is lifted up to allow the gate to open. Based on the interviews and monitoring of the facility, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit Violation Number Comment Rule 303 Children were not adequately supervised at all times. On April 2, 2026, a child climbed an outdoor playground gate, opened the gate, and a total of three (3) children exited the outdoor playground into an unfenced area, unaccompanied, for approximately less than one minute. .1801(a)(1-5) Technical assistance provided as follows: Violation #303- 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS You stated that the actions recorded above have been implemented to ensure the safety of the children and to ensure adequate supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit may be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 5/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: consultant.name@ 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: 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .2201 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0426-268L Visit Date: 4/28/2026 Number Present: 66 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 10:45 AM Time Out: 02:00 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 technological issues, a hand written report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit and left on site. An electronic copy of the visit summary was emailed to April Barrett, Site Supervisor on 4/29/2026. April Barrett, Site Supervisor, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-five percent (95%) as of 04/27/2026. The program currently operates with a four-star license, issued 4/5/2024, earning four (4) points in the education component, seven (7) points in the program standards component, and 1 quality point for using a staff benefits package and infrastructure of parent involvement. Restrictions: Daytime care only; No cooking allowed in building; Meets reduced staff/child ratios; Developmental Day Certified; Meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 04/20/2026 and sent to me on 04/20/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, and license posted was also monitored. A walkthrough of the entire center was conducted to include six (6) classrooms in operation today. During today’s walkthrough, all classrooms were in compliance with staff/child ratio. The children were observed having routine care, playing on the playground, and in learning centers in the classrooms. All interactions were positive and supervision was adequate. There is an allegation regarding supervision. The allegation is regarding children that left a classroom for approximately ten (10) minutes before the teacher noticed and alerted other staff. The children were retrieved by other staff and returned to the classroom. April Barrett, Site Supervisor, was interviewed during today’s visit regarding the supervision concern. Ms. Barrett stated that she was aware of an incident which occurred on the playground on 4/2/2026, in the afternoon during “Wraparound” hours. Three (3) children were able to leave the playground as one of the children climbed the gate and opened the gate’s latch to access the unfenced area. The teacher was aware the children left the playground but was unable to get them to return. The teacher did not want to leave the other children unsupervised to retrieve the three (3) children that had left the playground. The teacher knocked on the classroom window, located on the playground, to alert the staff in that room. Two (2) staff immediately ran outside to assist. The facility’s Family Advocate was able to get to the children and guided them to return to the playground. The facility’s Family Advocate was interviewed today and stated that the children were outside of the playground for less than one (1) minute total. The parents of the children that left the playground were informed of the incident. The teaching staff that was supervising the children during the incident was not available today due to working at a public school until later in the afternoon. Due to this incident, April Barrett, Site Supervisor, stated that the agency’s facilities maintenance department was notified to make the playground gate more secure as it is on a hill and easy to climb and open. The playground will not be used until a more secure way of closing the gate is installed. A separate playground with a more secure gate has been used in the afternoons, as well as two (2) staff are now required on the playground to adequately supervise the children. Ms. Barrett stated that the staff have been instructed to strategically place themselves on the playgrounds to adequately supervise the children and ensure the gate is not opened by the children. The distance the children walked along the outside of the playground fence was measured during today’s visit by Dawn McCrary, Child Care Consultant. It measured approximately fifty (50) feet. The playground gate that was opened by the children was monitored during today’s visit. The gate uses a standard, lever-type closing device which is lifted up to allow the gate to open. Based on the interviews and monitoring of the facility, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit Violation Number Comment Rule 303 Children were not adequately supervised at all times. On April 2, 2026, a child climbed an outdoor playground gate, opened the gate, and a total of three (3) children exited the outdoor playground into an unfenced area, unaccompanied, for approximately less than one minute. .1801(a)(1-5) Technical assistance provided as follows: Violation #303- 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS You stated that the actions recorded above have been implemented to ensure the safety of the children and to ensure adequate supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit may be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 5/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: consultant.name@ 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: 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: 0426-268L Visit Date: 4/28/2026 Number Present: 66 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 10:45 AM Time Out: 02:00 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 technological issues, a hand written report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit and left on site. An electronic copy of the visit summary was emailed to April Barrett, Site Supervisor on 4/29/2026. April Barrett, Site Supervisor, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-five percent (95%) as of 04/27/2026. The program currently operates with a four-star license, issued 4/5/2024, earning four (4) points in the education component, seven (7) points in the program standards component, and 1 quality point for using a staff benefits package and infrastructure of parent involvement. Restrictions: Daytime care only; No cooking allowed in building; Meets reduced staff/child ratios; Developmental Day Certified; Meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 04/20/2026 and sent to me on 04/20/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, and license posted was also monitored. A walkthrough of the entire center was conducted to include six (6) classrooms in operation today. During today’s walkthrough, all classrooms were in compliance with staff/child ratio. The children were observed having routine care, playing on the playground, and in learning centers in the classrooms. All interactions were positive and supervision was adequate. There is an allegation regarding supervision. The allegation is regarding children that left a classroom for approximately ten (10) minutes before the teacher noticed and alerted other staff. The children were retrieved by other staff and returned to the classroom. April Barrett, Site Supervisor, was interviewed during today’s visit regarding the supervision concern. Ms. Barrett stated that she was aware of an incident which occurred on the playground on 4/2/2026, in the afternoon during “Wraparound” hours. Three (3) children were able to leave the playground as one of the children climbed the gate and opened the gate’s latch to access the unfenced area. The teacher was aware the children left the playground but was unable to get them to return. The teacher did not want to leave the other children unsupervised to retrieve the three (3) children that had left the playground. The teacher knocked on the classroom window, located on the playground, to alert the staff in that room. Two (2) staff immediately ran outside to assist. The facility’s Family Advocate was able to get to the children and guided them to return to the playground. The facility’s Family Advocate was interviewed today and stated that the children were outside of the playground for less than one (1) minute total. The parents of the children that left the playground were informed of the incident. The teaching staff that was supervising the children during the incident was not available today due to working at a public school until later in the afternoon. Due to this incident, April Barrett, Site Supervisor, stated that the agency’s facilities maintenance department was notified to make the playground gate more secure as it is on a hill and easy to climb and open. The playground will not be used until a more secure way of closing the gate is installed. A separate playground with a more secure gate has been used in the afternoons, as well as two (2) staff are now required on the playground to adequately supervise the children. Ms. Barrett stated that the staff have been instructed to strategically place themselves on the playgrounds to adequately supervise the children and ensure the gate is not opened by the children. The distance the children walked along the outside of the playground fence was measured during today’s visit by Dawn McCrary, Child Care Consultant. It measured approximately fifty (50) feet. The playground gate that was opened by the children was monitored during today’s visit. The gate uses a standard, lever-type closing device which is lifted up to allow the gate to open. Based on the interviews and monitoring of the facility, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit Violation Number Comment Rule 303 Children were not adequately supervised at all times. On April 2, 2026, a child climbed an outdoor playground gate, opened the gate, and a total of three (3) children exited the outdoor playground into an unfenced area, unaccompanied, for approximately less than one minute. .1801(a)(1-5) Technical assistance provided as follows: Violation #303- 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS You stated that the actions recorded above have been implemented to ensure the safety of the children and to ensure adequate supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit may be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 5/12/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: consultant.name@ 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: 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 62 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit. A printed signed copy of the visit summary was left with Ms. Barrett. Today, April Barrett, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-three (93) percent as of 12/09/2025. 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 12/9/25. Permit type – Four Star Child Care License; issued 8/5/24. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space; Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. The last annual compliance visit was conducted on 1/8/25. The last fire drill was practiced on 11/19/25. The last shelter-in-place drill was practiced on 10/28/2025. The last playground inspection was documented on 11/20/2025. The last fire inspection was approved on 1/6/2025. The last sanitation inspection was conducted on 7/28/25 with thirteen (413) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum and Teaching Strategies Gold. Lead water testing was completed 5/7/24 without hazards. Upon arrival, I made my presence known to April Barrett, Site Supervisor. The children in the classrooms of two-year-olds were observed playing with play dough, having free choice play, and imitating animals. The children in the classroom of infants and one-year-olds were having routine care and playing with dolls on the floor with the caregivers. The children in the Head Start classroom were having free choice play with dramatic play items, Magna tiles, blocks, and science materials. The children in Developmental Day classroom were participating in animal and pet themed activities. The children in the NC Pre K classroom were having free choice play with blocks, dramatic play items, magna tiles and art. All interactions were positive. Supervision was adequate. There are nine (9) newly hired staff and fifteen (15) existing staff. The newly hired staff files and two (2) existing staff files were monitored during today’s visit. Seven (7) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. Based on today’s conversation the facility will pursue the Head Start Pathway. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K Program Site Monitoring Tool will be reviewed during the Routine Unannounced visit. Two (2) children files were monitored today. The following violations were documented during today's visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization in space #6 did not include the last name of the child. 10A NCAC 09 .0803(4)(6-9) Technical assistance provided as follows 847-One medication authorization in space #6 did not include the last name of the child. Plan to double-check medication authorizations for required information before storing the medication in the classroom. Consultation 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 62 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit. A printed signed copy of the visit summary was left with Ms. Barrett. Today, April Barrett, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-three (93) percent as of 12/09/2025. 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 12/9/25. Permit type – Four Star Child Care License; issued 8/5/24. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space; Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. The last annual compliance visit was conducted on 1/8/25. The last fire drill was practiced on 11/19/25. The last shelter-in-place drill was practiced on 10/28/2025. The last playground inspection was documented on 11/20/2025. The last fire inspection was approved on 1/6/2025. The last sanitation inspection was conducted on 7/28/25 with thirteen (413) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum and Teaching Strategies Gold. Lead water testing was completed 5/7/24 without hazards. Upon arrival, I made my presence known to April Barrett, Site Supervisor. The children in the classrooms of two-year-olds were observed playing with play dough, having free choice play, and imitating animals. The children in the classroom of infants and one-year-olds were having routine care and playing with dolls on the floor with the caregivers. The children in the Head Start classroom were having free choice play with dramatic play items, Magna tiles, blocks, and science materials. The children in Developmental Day classroom were participating in animal and pet themed activities. The children in the NC Pre K classroom were having free choice play with blocks, dramatic play items, magna tiles and art. All interactions were positive. Supervision was adequate. There are nine (9) newly hired staff and fifteen (15) existing staff. The newly hired staff files and two (2) existing staff files were monitored during today’s visit. Seven (7) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. Based on today’s conversation the facility will pursue the Head Start Pathway. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K Program Site Monitoring Tool will be reviewed during the Routine Unannounced visit. Two (2) children files were monitored today. The following violations were documented during today's visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization in space #6 did not include the last name of the child. 10A NCAC 09 .0803(4)(6-9) Technical assistance provided as follows 847-One medication authorization in space #6 did not include the last name of the child. Plan to double-check medication authorizations for required information before storing the medication in the classroom. Consultation 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 62 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit. A printed signed copy of the visit summary was left with Ms. Barrett. Today, April Barrett, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-three (93) percent as of 12/09/2025. 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 12/9/25. Permit type – Four Star Child Care License; issued 8/5/24. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space; Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. The last annual compliance visit was conducted on 1/8/25. The last fire drill was practiced on 11/19/25. The last shelter-in-place drill was practiced on 10/28/2025. The last playground inspection was documented on 11/20/2025. The last fire inspection was approved on 1/6/2025. The last sanitation inspection was conducted on 7/28/25 with thirteen (413) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum and Teaching Strategies Gold. Lead water testing was completed 5/7/24 without hazards. Upon arrival, I made my presence known to April Barrett, Site Supervisor. The children in the classrooms of two-year-olds were observed playing with play dough, having free choice play, and imitating animals. The children in the classroom of infants and one-year-olds were having routine care and playing with dolls on the floor with the caregivers. The children in the Head Start classroom were having free choice play with dramatic play items, Magna tiles, blocks, and science materials. The children in Developmental Day classroom were participating in animal and pet themed activities. The children in the NC Pre K classroom were having free choice play with blocks, dramatic play items, magna tiles and art. All interactions were positive. Supervision was adequate. There are nine (9) newly hired staff and fifteen (15) existing staff. The newly hired staff files and two (2) existing staff files were monitored during today’s visit. Seven (7) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. Based on today’s conversation the facility will pursue the Head Start Pathway. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K Program Site Monitoring Tool will be reviewed during the Routine Unannounced visit. Two (2) children files were monitored today. The following violations were documented during today's visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization in space #6 did not include the last name of the child. 10A NCAC 09 .0803(4)(6-9) Technical assistance provided as follows 847-One medication authorization in space #6 did not include the last name of the child. Plan to double-check medication authorizations for required information before storing the medication in the classroom. Consultation 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 62 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit. A printed signed copy of the visit summary was left with Ms. Barrett. Today, April Barrett, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-three (93) percent as of 12/09/2025. 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 12/9/25. Permit type – Four Star Child Care License; issued 8/5/24. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space; Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. The last annual compliance visit was conducted on 1/8/25. The last fire drill was practiced on 11/19/25. The last shelter-in-place drill was practiced on 10/28/2025. The last playground inspection was documented on 11/20/2025. The last fire inspection was approved on 1/6/2025. The last sanitation inspection was conducted on 7/28/25 with thirteen (413) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum and Teaching Strategies Gold. Lead water testing was completed 5/7/24 without hazards. Upon arrival, I made my presence known to April Barrett, Site Supervisor. The children in the classrooms of two-year-olds were observed playing with play dough, having free choice play, and imitating animals. The children in the classroom of infants and one-year-olds were having routine care and playing with dolls on the floor with the caregivers. The children in the Head Start classroom were having free choice play with dramatic play items, Magna tiles, blocks, and science materials. The children in Developmental Day classroom were participating in animal and pet themed activities. The children in the NC Pre K classroom were having free choice play with blocks, dramatic play items, magna tiles and art. All interactions were positive. Supervision was adequate. There are nine (9) newly hired staff and fifteen (15) existing staff. The newly hired staff files and two (2) existing staff files were monitored during today’s visit. Seven (7) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. Based on today’s conversation the facility will pursue the Head Start Pathway. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K Program Site Monitoring Tool will be reviewed during the Routine Unannounced visit. Two (2) children files were monitored today. The following violations were documented during today's visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization in space #6 did not include the last name of the child. 10A NCAC 09 .0803(4)(6-9) Technical assistance provided as follows 847-One medication authorization in space #6 did not include the last name of the child. Plan to double-check medication authorizations for required information before storing the medication in the classroom. Consultation 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 12/10/2025 Number Present: 62 Completed Date: 12/10/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Dawn McCrary, Child Care Consultant and also signed by April Barrett, Site Supervisor, during the visit. A printed signed copy of the visit summary was left with Ms. Barrett. Today, April Barrett, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The program’s compliance history was ninety-three (93) percent as of 12/09/2025. 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 12/9/25. Permit type – Four Star Child Care License; issued 8/5/24. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space; Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. The last annual compliance visit was conducted on 1/8/25. The last fire drill was practiced on 11/19/25. The last shelter-in-place drill was practiced on 10/28/2025. The last playground inspection was documented on 11/20/2025. The last fire inspection was approved on 1/6/2025. The last sanitation inspection was conducted on 7/28/25 with thirteen (413) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum and Teaching Strategies Gold. Lead water testing was completed 5/7/24 without hazards. Upon arrival, I made my presence known to April Barrett, Site Supervisor. The children in the classrooms of two-year-olds were observed playing with play dough, having free choice play, and imitating animals. The children in the classroom of infants and one-year-olds were having routine care and playing with dolls on the floor with the caregivers. The children in the Head Start classroom were having free choice play with dramatic play items, Magna tiles, blocks, and science materials. The children in Developmental Day classroom were participating in animal and pet themed activities. The children in the NC Pre K classroom were having free choice play with blocks, dramatic play items, magna tiles and art. All interactions were positive. Supervision was adequate. There are nine (9) newly hired staff and fifteen (15) existing staff. The newly hired staff files and two (2) existing staff files were monitored during today’s visit. Seven (7) child files were monitored for child care regulations during today’s visit. QRIS modernization discussion: A technical assistance (TA) visit will be scheduled to occur in the winter of 2026 to discuss the pathways to the stars. Based on today’s conversation the facility will pursue the Head Start Pathway. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K Program Site Monitoring Tool will be reviewed during the Routine Unannounced visit. Two (2) children files were monitored today. The following violations were documented during today's visit Violation Number Comment Rule 847 Parent's medication authorization did not include required information. One medication authorization in space #6 did not include the last name of the child. 10A NCAC 09 .0803(4)(6-9) Technical assistance provided as follows 847-One medication authorization in space #6 did not include the last name of the child. Plan to double-check medication authorizations for required information before storing the medication in the classroom. Consultation 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828.556.3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 .0514 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 .0706 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 .2902 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 63 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by you, Amethyst Caruso, Site Supervisor. A signed copy of the visit summary was left on-site for you. Today, Amethyst Caruso, Site Supervisor, was available to assist during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percentage as of 1/7/25. 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 1/7/25. Permit type – Four Star Child Care License; issued 4/5/2024. Special Services/Restrictions – Daytime care only; no cooking allowed, meets enhanced space, Meets reduced staff/child ratios; Developmental Day Certified. Provides NC Pre-K. 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 last Annual Compliance visit was conducted on 1/16/24. The last fire drill was practiced on 12/5/24. The last shelter- in-place drill was practiced on 12/13/24. The last playground inspection was documented on 12/12/24. The last fire inspection was approved on 2/22//24. The last sanitation inspection was conducted on 7/31/24 with two (2) demerits for a Superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness Plan is current. The incident log was current and in use. The approved curriculum for four-year-old children is Teaching Strategies Gold. Upon my arrival, I made my presence known to Amethyst Caruso, Site Supervisor. A walk-through of the facility was conducted. The children in the classroom of infants and one-year-olds were observed interacting with the caregivers, having diapers changed, sleeping, and moving freely in the classroom. The children in the classroom of one and two-year-olds were observed playing musical instruments. The children in the classroom of three, four, and five-year-olds were observed in free choice play with dramatic play items, play dough, sensory bins, and books. The children in the classroom of two-year-olds were observed playing with magnetic tiles and books. The children in the classroom of four and five-year-olds were observed having a large group activity and transitioning to outdoor play. The children in the classroom designated as “Developmental Day” were observed having free choice play with art, books, dramatic play items and manipulatives The lunch served today was chicken, tortillas, green beans, mixed fruit, and milk. The outdoor playground has adequate space for running and vigorous play with portable materials to enhance play in a natural setting. All interactions were positive and nurturing. Supervision was adequate. Eighty-nine (89) children are enrolled. Nine (9) children’s files were monitored for child care and NC PreK requirements. There are (11) newly hired staff and fifteen (15) existing staff. The newly hired staff files were monitored, two (2) existing staff files were monitored for child care requirements. The staff and training worksheet was provided and monitored during today’s visit. This program does not provide transportation. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #8. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over five years’ experience. The program operates seven hours per day, Monday through Friday, twelve months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: (1) quarterly parent education sessions, (2) parent/teacher conferences twice a year; (3) daily notes of progress provided to parents; (4) opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; (5) and provides parents with referral information about other community programs and resources serving young children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Per the staff and training worksheets, four staff do not have current health questionnaires. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheets, four staff do not have current emergency information forms. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. G.S. 110-90.2(b) & .2703(n)&(o) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Per the staff and training worksheet, one staff did not review the emergency preparedness plan annually. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheets, two staff did not completed health and safety training within one year of employment. .1102(a) Technical assistance provides as follows: G.S. 110-90.2(b) &.2703(n)&(o) One staff, E.C. had a valid qualifying letter that expired 9/10/24 and received a valid qualifying letter 9/25/24. The staff maintained employment, however, was not on site during the lapse. SECTION .0700 - STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Per the staff and training worksheets, four staff do not have current health questionnaires or emergency information forms. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE Per the staff and training worksheet, one staff did not review the emergency medical care plan annually. 10A NCAC 09 .0706 HEALTH AND SAFETY TRAINING REQUIREMENTS Per the staff and training worksheets, two staff did not complete the required health and safety trainings within one year of employment. Plan to have the staff complete the trainings immediately to ensure proper health and safety measures are used in regards to the children in care. Per the staff and training worksheets, one staff did not review the facility's emergency preparedness plan annually. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Per the staff and training worksheets, two staff do not have current staff development plans or annual evaluations. Due to Tropical Storm Helene and the state of emergency, additional time was allowed for staff, R.R. to complete the required health and safety trainings. Achieving compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that newly hired staff, coming from previous child care facilities must complete health and safety training topics, including recognizing and responding to child maltreatment if their trainings are over 12 months old. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-566-3088, 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 22 Completed Date: 1/16/2024 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license visit. Per the request of the administrator, Developmental Day requirements, of the 2900 section of Child Care Rules, were discussed and monitored as the facility plans to add a Developmental Day classroom. 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, Heather Brewer-Jones, Administrator, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Heather Brewer-Jones, Administrator, 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 ninety (90) percentage as of 1/15/24. 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 1/15/24. Permit type – Four-Star Child Care License issued 9/6/23; earning four (4) points in staff education; seven (7) points in program standards; and one (1) quality point. Restrictions- Daytime care only; no cooking allowed in building; Meets reduced staff/child ratios; meets enhanced space. The last temporary time period visit was conducted on 7/14/23. The last fire drill was practiced on 12/13/23. The last shelter-in-place drill was practiced on 12/8/23. 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 9/11/23 with three (3) 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 Heather Brewer-Jones, Administrator. The one and two year old children were observed having free choice play in the classroom. They were participating with art materials, fine motor materials and dramatic play with dolls and blankets. The three and four year old children were observed having free choice play in the classroom. They were participating with building materials, art materials, and manipulatives. The lunch served today was chicken nuggets, fries, applesauce, bread 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 received during today’s visit and monitored for child care requirements. The program does not provide transportation. There are four (4) newly hired staff and six (6) 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 twenty-five (25) children enrolled. Three (3) child files were monitored for compliance of child care regulations. The facility, including the tentative Developmental Day space, was monitored and found in compliance for Developmental Day requirements in the 2900 section of Child Care Rules. To date, all Developmental Day requirements are in compliance as during today's visit, a qualified Lead Teacher was in the hiring and on-boarding process with the Human Resources Department of WNCSource. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheet, one staff did not have the required emergency information form on file on or before the first day of work. .0701(a) Technical assistance was provided as follows: 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item required: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 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 1/30/24. 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: We discussed the plan of the facility operating at least one (1) developmental day classroom and the requirements for developmental day. This facility meets the section 2900 Developmental Day requirements of Child Care Rules. A permit will be issued to have this facility Developmental Day certified. Rated License Assessment consultation: We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Prior to the visit today, the compliance history score for the facility was 90% Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Program Standards: The program will have the ERS reassessment to determine program standard points. Quality Point: A quality point was determined during today's visit. Curriculum: The curriculum used by the facility staff is creative curriculum. Rated License Consultation We discussed adding additional unit and cardboard blocks in the ECERS qualifying classrooms. You were emailed a list of poisonous plants in preparation of adding plants to the classrooms. You were also emailed the NCRLAP gross motor requirements. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g. sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g. wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the Rated License Application Packet and Rated License Assessment Request form, which was received during today’s visit. We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 22 Completed Date: 1/16/2024 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license visit. Per the request of the administrator, Developmental Day requirements, of the 2900 section of Child Care Rules, were discussed and monitored as the facility plans to add a Developmental Day classroom. 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, Heather Brewer-Jones, Administrator, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Heather Brewer-Jones, Administrator, 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 ninety (90) percentage as of 1/15/24. 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 1/15/24. Permit type – Four-Star Child Care License issued 9/6/23; earning four (4) points in staff education; seven (7) points in program standards; and one (1) quality point. Restrictions- Daytime care only; no cooking allowed in building; Meets reduced staff/child ratios; meets enhanced space. The last temporary time period visit was conducted on 7/14/23. The last fire drill was practiced on 12/13/23. The last shelter-in-place drill was practiced on 12/8/23. 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 9/11/23 with three (3) 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 Heather Brewer-Jones, Administrator. The one and two year old children were observed having free choice play in the classroom. They were participating with art materials, fine motor materials and dramatic play with dolls and blankets. The three and four year old children were observed having free choice play in the classroom. They were participating with building materials, art materials, and manipulatives. The lunch served today was chicken nuggets, fries, applesauce, bread 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 received during today’s visit and monitored for child care requirements. The program does not provide transportation. There are four (4) newly hired staff and six (6) 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 twenty-five (25) children enrolled. Three (3) child files were monitored for compliance of child care regulations. The facility, including the tentative Developmental Day space, was monitored and found in compliance for Developmental Day requirements in the 2900 section of Child Care Rules. To date, all Developmental Day requirements are in compliance as during today's visit, a qualified Lead Teacher was in the hiring and on-boarding process with the Human Resources Department of WNCSource. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheet, one staff did not have the required emergency information form on file on or before the first day of work. .0701(a) Technical assistance was provided as follows: 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item required: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 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 1/30/24. 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: We discussed the plan of the facility operating at least one (1) developmental day classroom and the requirements for developmental day. This facility meets the section 2900 Developmental Day requirements of Child Care Rules. A permit will be issued to have this facility Developmental Day certified. Rated License Assessment consultation: We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Prior to the visit today, the compliance history score for the facility was 90% Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Program Standards: The program will have the ERS reassessment to determine program standard points. Quality Point: A quality point was determined during today's visit. Curriculum: The curriculum used by the facility staff is creative curriculum. Rated License Consultation We discussed adding additional unit and cardboard blocks in the ECERS qualifying classrooms. You were emailed a list of poisonous plants in preparation of adding plants to the classrooms. You were also emailed the NCRLAP gross motor requirements. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g. sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g. wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the Rated License Application Packet and Rated License Assessment Request form, which was received during today’s visit. We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 22 Completed Date: 1/16/2024 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license visit. Per the request of the administrator, Developmental Day requirements, of the 2900 section of Child Care Rules, were discussed and monitored as the facility plans to add a Developmental Day classroom. 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, Heather Brewer-Jones, Administrator, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Heather Brewer-Jones, Administrator, 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 ninety (90) percentage as of 1/15/24. 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 1/15/24. Permit type – Four-Star Child Care License issued 9/6/23; earning four (4) points in staff education; seven (7) points in program standards; and one (1) quality point. Restrictions- Daytime care only; no cooking allowed in building; Meets reduced staff/child ratios; meets enhanced space. The last temporary time period visit was conducted on 7/14/23. The last fire drill was practiced on 12/13/23. The last shelter-in-place drill was practiced on 12/8/23. 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 9/11/23 with three (3) 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 Heather Brewer-Jones, Administrator. The one and two year old children were observed having free choice play in the classroom. They were participating with art materials, fine motor materials and dramatic play with dolls and blankets. The three and four year old children were observed having free choice play in the classroom. They were participating with building materials, art materials, and manipulatives. The lunch served today was chicken nuggets, fries, applesauce, bread 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 received during today’s visit and monitored for child care requirements. The program does not provide transportation. There are four (4) newly hired staff and six (6) 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 twenty-five (25) children enrolled. Three (3) child files were monitored for compliance of child care regulations. The facility, including the tentative Developmental Day space, was monitored and found in compliance for Developmental Day requirements in the 2900 section of Child Care Rules. To date, all Developmental Day requirements are in compliance as during today's visit, a qualified Lead Teacher was in the hiring and on-boarding process with the Human Resources Department of WNCSource. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheet, one staff did not have the required emergency information form on file on or before the first day of work. .0701(a) Technical assistance was provided as follows: 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item required: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 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 1/30/24. 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: We discussed the plan of the facility operating at least one (1) developmental day classroom and the requirements for developmental day. This facility meets the section 2900 Developmental Day requirements of Child Care Rules. A permit will be issued to have this facility Developmental Day certified. Rated License Assessment consultation: We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Prior to the visit today, the compliance history score for the facility was 90% Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Program Standards: The program will have the ERS reassessment to determine program standard points. Quality Point: A quality point was determined during today's visit. Curriculum: The curriculum used by the facility staff is creative curriculum. Rated License Consultation We discussed adding additional unit and cardboard blocks in the ECERS qualifying classrooms. You were emailed a list of poisonous plants in preparation of adding plants to the classrooms. You were also emailed the NCRLAP gross motor requirements. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g. sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g. wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the Rated License Application Packet and Rated License Assessment Request form, which was received during today’s visit. We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 22 Completed Date: 1/16/2024 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license visit. Per the request of the administrator, Developmental Day requirements, of the 2900 section of Child Care Rules, were discussed and monitored as the facility plans to add a Developmental Day classroom. 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, Heather Brewer-Jones, Administrator, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Heather Brewer-Jones, Administrator, 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 ninety (90) percentage as of 1/15/24. 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 1/15/24. Permit type – Four-Star Child Care License issued 9/6/23; earning four (4) points in staff education; seven (7) points in program standards; and one (1) quality point. Restrictions- Daytime care only; no cooking allowed in building; Meets reduced staff/child ratios; meets enhanced space. The last temporary time period visit was conducted on 7/14/23. The last fire drill was practiced on 12/13/23. The last shelter-in-place drill was practiced on 12/8/23. 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 9/11/23 with three (3) 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 Heather Brewer-Jones, Administrator. The one and two year old children were observed having free choice play in the classroom. They were participating with art materials, fine motor materials and dramatic play with dolls and blankets. The three and four year old children were observed having free choice play in the classroom. They were participating with building materials, art materials, and manipulatives. The lunch served today was chicken nuggets, fries, applesauce, bread 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 received during today’s visit and monitored for child care requirements. The program does not provide transportation. There are four (4) newly hired staff and six (6) 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 twenty-five (25) children enrolled. Three (3) child files were monitored for compliance of child care regulations. The facility, including the tentative Developmental Day space, was monitored and found in compliance for Developmental Day requirements in the 2900 section of Child Care Rules. To date, all Developmental Day requirements are in compliance as during today's visit, a qualified Lead Teacher was in the hiring and on-boarding process with the Human Resources Department of WNCSource. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheet, one staff did not have the required emergency information form on file on or before the first day of work. .0701(a) Technical assistance was provided as follows: 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item required: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 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 1/30/24. 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: We discussed the plan of the facility operating at least one (1) developmental day classroom and the requirements for developmental day. This facility meets the section 2900 Developmental Day requirements of Child Care Rules. A permit will be issued to have this facility Developmental Day certified. Rated License Assessment consultation: We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Prior to the visit today, the compliance history score for the facility was 90% Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Program Standards: The program will have the ERS reassessment to determine program standard points. Quality Point: A quality point was determined during today's visit. Curriculum: The curriculum used by the facility staff is creative curriculum. Rated License Consultation We discussed adding additional unit and cardboard blocks in the ECERS qualifying classrooms. You were emailed a list of poisonous plants in preparation of adding plants to the classrooms. You were also emailed the NCRLAP gross motor requirements. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g. sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g. wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the Rated License Application Packet and Rated License Assessment Request form, which was received during today’s visit. We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. 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 TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 1/16/2024 Number Present: 22 Completed Date: 1/16/2024 Age: From 1 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license visit. Per the request of the administrator, Developmental Day requirements, of the 2900 section of Child Care Rules, were discussed and monitored as the facility plans to add a Developmental Day classroom. 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, Heather Brewer-Jones, Administrator, during the visit An electronic signed copy of the visit summary electronically emailed to you. Today, Heather Brewer-Jones, Administrator, 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 ninety (90) percentage as of 1/15/24. 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 1/15/24. Permit type – Four-Star Child Care License issued 9/6/23; earning four (4) points in staff education; seven (7) points in program standards; and one (1) quality point. Restrictions- Daytime care only; no cooking allowed in building; Meets reduced staff/child ratios; meets enhanced space. The last temporary time period visit was conducted on 7/14/23. The last fire drill was practiced on 12/13/23. The last shelter-in-place drill was practiced on 12/8/23. 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 9/11/23 with three (3) 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 Heather Brewer-Jones, Administrator. The one and two year old children were observed having free choice play in the classroom. They were participating with art materials, fine motor materials and dramatic play with dolls and blankets. The three and four year old children were observed having free choice play in the classroom. They were participating with building materials, art materials, and manipulatives. The lunch served today was chicken nuggets, fries, applesauce, bread 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 received during today’s visit and monitored for child care requirements. The program does not provide transportation. There are four (4) newly hired staff and six (6) 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 twenty-five (25) children enrolled. Three (3) child files were monitored for compliance of child care regulations. The facility, including the tentative Developmental Day space, was monitored and found in compliance for Developmental Day requirements in the 2900 section of Child Care Rules. To date, all Developmental Day requirements are in compliance as during today's visit, a qualified Lead Teacher was in the hiring and on-boarding process with the Human Resources Department of WNCSource. 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Per the staff and training worksheet, one staff did not have the required emergency information form on file on or before the first day of work. .0701(a) Technical assistance was provided as follows: 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item required: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 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 1/30/24. 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: We discussed the plan of the facility operating at least one (1) developmental day classroom and the requirements for developmental day. This facility meets the section 2900 Developmental Day requirements of Child Care Rules. A permit will be issued to have this facility Developmental Day certified. Rated License Assessment consultation: We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Prior to the visit today, the compliance history score for the facility was 90% Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Program Standards: The program will have the ERS reassessment to determine program standard points. Quality Point: A quality point was determined during today's visit. Curriculum: The curriculum used by the facility staff is creative curriculum. Rated License Consultation We discussed adding additional unit and cardboard blocks in the ECERS qualifying classrooms. You were emailed a list of poisonous plants in preparation of adding plants to the classrooms. You were also emailed the NCRLAP gross motor requirements. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g. sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g. wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the Rated License Application Packet and Rated License Assessment Request form, which was received during today’s visit. We discussed that additional gross motor equipment may be needed indoors and outdoors for the ERS assessment to meet Indicator 8-5.1 and 8-5.2 meeting at least five (5) gross motor skills. Refer to the ECERS-R book for more information. We discussed that the schedule may need to be adjusted to provide free play for the substantial portion of the day (SPOD) based on operating hours. A resource from the North Carolina Rated License Assessment Project (NCRLAP) was emailed to Heather Brewer-Jones, Administrator. We discussed the use of the Weather Watch chart for inclement weather and the need to train all staff on the use of the chart due to the change of season and cold weather. We discussed that it is important that all children, including infants, must have adequate outdoor time as required by child care regulations. 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 .2817 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2802 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2809 · Violation

Name of Operation: WNCSOURCE TEBEAU CHILDREN'S CENTER Facility ID: 45000422 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/14/2023 Number Present: 5 Completed Date: 7/14/2023 Age: From 1 To 2 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. Dawn McCrary, Child Care Consultant, accompanied me on the visit. Candice Freeman, Area Manager, was on-site and available to answer and ask questions. Amy Smith, Administrator, was not on-site today. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Candice Freeman, during the visit. An electronic signed copy of the visit summary was electronically emailed to Candice Freeman, Amy Smith, and Heather Brewer-Jones. Currently this Early Head Start center operates with a Temporary License, issued 3/6/23 and is effective through 9/6/23. The restrictions include daytime care only; no cooking allowed in building; maximum capacity 94 children; and age range, 0-5 years. The Secretary of State website was reviewed today and the non-profit organization, Western Carolina Community Action, Inc., is listed as active-current. If any changes to the company need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced 6/27/23. The last monthly playground inspection was completed on 6/5/23. The last lockdown drill was practiced on 6/27/23. The last sanitation inspection was completed on 5/25/23 with five (5) demerits for a Superior Classification. The last approved fire inspection was completed on 3/27/23. The Emergency Preparedness Response (EPR) plan was completed on 5/12/23. The emergency medical care (EMC) plan was posted. The two (2) staff listed on the EMC plan were not on-site today. The incident log was in use and maintained. The children were observed eating banana bread, peaches, and milk. The children were also observed in free play and a small group painting activity. Teacher interactions were positive and engaging. There are four (4) new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. 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 of child care requirements were observed: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated the breakfast today was mini pancakes, applesauce, and milk. The breakfast served this morning was banana bread, peaches, and milk. The substitutions were not recorded on the menu in space #2 prior to the meal being served. 10A NCAC 09 .0901(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff hired on 7/17/09. Refer to the staff and training worksheet. 10A NCAC 09 .0802(a) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer instructions were not kept on file or electronically accessible for the step climber with slide in space #2. .0601(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One (1) staff, hired on 7/17/09, did not have documentation on file to state the EPR plan for this facility was reviewed. Refer to the staff and training worksheet. .0607(f) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The emergency medical care plan had two (2) staff listed that were not on-site today. .0802(b)(1-2) Technical Assistance for Correction Plan **Emergency Medical Care Plan The EMC plan must be updated to include additional staff that will be on-site at all times. Once updated, be sure to review the changes with staff. The one (1) staff hired on 7/17/09 must have a review of the facility's EMC plan. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. *Emergency Preparedness and Response Plan The EPR plan must be reviewed with the one (1) staff hired on 7/17/09. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency PrepAt aredness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. *Menus 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. *Safe Environment - Corrected During Visit The manufacturer's instructions must be on file and any safety requirements for surfacing must be followed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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 7/28/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt 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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 92%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff are due to have education evaluated by WORKS on or before 7/21/23. A.H. has a return letter in WORKS stating she will need to submit official transcripts to WORKS to have education evaluated for the teacher position. Education points are currently being evaluated. Program Standards: Program Standards: The ITERS-R ERS assessment was conducted on 6/13/23 with a score of 5.74 points. The overall average classroom score (based on 1 assessment) is 5.74. The lowest classroom score is 5.0. The next ERS assessment will be due in June 2026. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility would like to use the staff benefits package (vacation, sick time, health insurance, and retirement) and evidence of infrastructure of parent involvement (parent newsletters offered at least quarterly and parent information meetings at least quarterly. The quality point was reviewed today and the facility meets staff benefits package and infrastructure of parent involvement. Quality point = 1 point Curriculum: The program implements Creative Curriculum, Teaching Strategies, 6th Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. This facility will be included in Cohort 3 of the rated license assessment cycle. Information will be forthcoming as the Cohort 3 preparation year approaches. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: We discussed that the Head Start program may begin operation in August 2023. At that time, an ECERS-R ERS assessment may be requested to meet requirements of adding the new age range. Plan to contact the child care consultant once the Head Start operation begins. We discussed the current activity plan must be posted. It is recommended to keep the current activity posted through Friday afternoon and change out for the next week by close of business. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. We discussed to move the tobacco restriction sign to the parent board so that it could be seen at the front of the facility. We discussed the annual fire inspection is due on or before 3/27/23. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Dawn McCrary will be assigned as your child care consultant once the rated license is issued. You may reach Ms. McCrary at dawn.mccrary@dhhs.nc.gov or 828.556.3088. 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 the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. 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 as needed. The North Carolina Early Childhood Equivalency Exam is now available on DCDEE Moodle. Visit the Division’s website to find out more information. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times