Hccdc AT Incarnation

10A NCAC 09 .0304 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/16/2026 Number Present: 23 Completed Date: 1/16/2026 Age: From 3 To 5 Total Minutes: 255 Time In: 09:25 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Misty Barnes, Administrator, during the visit. Bridget Owen, Child Care Consultant, accompanied me during today’s visit. An electronic signed copy of the visit summary was left on-site to you. Today,Misty Barnes, Administrator accompanied me today during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Child Care Centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percentage as of 01/15/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the Highlands Community Child Development, non-profit corporation, is current/active as of 01/15/2026 Permit type – Five Star License, 8/7/2023 Special Services/Restrictions – Day time care only, children in care on ground level, no cooking allowed, meets enhanced space, meets reduced staff/child ratios The last annual compliance visit was conducted on 1/23/2025 The last fire drill was practiced on 12/8/2025 The last shelter-in-place drill was practiced on11/21/2025 The last playground inspection was documented on 12/17/2025 The last fire inspection was approved on 2/22/2024 The last sanitation inspection was conducted on 09/24/2025 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is FunnyDaffer Lead water testing was completed on 12/19/2022 without hazards. Lead paint and asbestos testing have not been completed. Incident log was monitored. Playground was monitored. Upon our arrival we introduced our presence to the Administrator. We observed the group with children, three- to four-year-old, in space 2 engaged in center play activities, the group with children, three-to-four-year-old, in space 1 engaged in circle time and potty and handwashing routine. Lunch was observed during today’s visit, baked ziti, green beans, peaches, toast, and milk, which were accurately listed on the menu. Over the counter and emergency medications were monitored; one expired medication was identified. Supervision and child interaction were monitored during the visit and reflected a positive and respectful environment. File Review The Staff and Training Worksheet was submitted prior to today’s visit. The ABCMS system was reviewed in advance. Three (3) children’s files and two (2) existing staff files were reviewed. One (1) substitute staff member’s file was also reviewed, and it was noted that Health and Safety training documentation was incomplete due to missing training certificates. However, Ms. Barnes stated that this substitute staff member works fewer than ten (10) days annually; therefore, Health and Safety training is not required for this individual. 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 following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24.The inspection completed in January and February 2025 did not pass. 10A NCAC 09 .0304(a) 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. GS 110-102 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library was approximately 42 inches. GS 110-91(6); .0605((i) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication was expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. .0803(12) 853 Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. .0802(g)(1-6) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were list on the ABCMS portal as of 1/15/2026. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Medications Item # 0849: Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, emergency medication expired. It expired on 04/26/2025. The teacher stated the child has not used the medication since that date and forgot to return the medication to the parent. To Achieve compliance indicate the date that the medication was sent home with the parent and create a plan for how left over medication and/or expired medication will be sent home within 72 hours of completion of treatment or withdrawal of authorization. Cleaning Products Item # 0840: All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1 the cabinet under the sink was unlocked and one door open, cleaning products; bleach, dish detergent were stored in the unlocked cabinet. Corrected during the visit. Incident Logs Item #0853: Incident logs were not completed and maintained as required. There were two (2) incident reports 3/11/2025 and 1/5/26 that have not been entered on the incident log. Corrected during the visit. Children’s Files Item # 0114: A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One children's file did not have a parent signature or date on the acknowledgement. To Achieve compliance indicate that the parent has signed and dated the acknowledgement for the summary of the NC Child Care Law. Fire Inspection Item #0106: Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last passing fire inspection was completed on 2/22/24. To achieve compliance a current passing fire inspection will need to be completed. Playground Item # 0824: Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The outer fence running alongside the woods, from the gate and towards the library is approximately 42 inches. To achieve compliance the fence will need be raised to the minimum height of 4 feet. DCDEE Criminal Background Check (CBC) Item # 1805: To achieve compliance for violation item #1805 cited today, all staff must be assigned to the facility in the ABCMS portal. We discussed that any new staff hired must be assigned to the facility within five (5) business days in the ABCMS portal. Assigning staff in the ABCMS portal is an important tool to assist in keeping children safe. You must list atleast one staff member to show progress within the next two weeks. To be in compliance, all staff members must be entered by the routine unannounced visit. Lead Water, Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Lead water testing was completed 12/19/2022. Lead water testing must be complete every three years. The address listed for HCCDC at Incarnation is listed at 89 Church Street, Highlands, NC 28741. It will need to be updated 520 Main Street Highlands NC 28741. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/29/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins, Child Care Consultant Po Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Ongoing Training The ongoing training period differs for each staff member and is based on the employee’s date of hire. For example, Z. Staffelbach was hired on 9/28/20; therefore, her training period runs from 9/28 of one year through 9/27 of the following year. During routine visits, Child Care Consultants monitor each staff member’s most recently complete training period. During today’s visit, Ms. Staffelbach’s training period of 9/28/24 through 9/27/25 was reviewed. Ongoing training must be pre-approved and provided by exempt agencies. Reviews of operational policies, EMC, or EPR do not count toward ongoing traiing hours. Southwestern Child Development Commission is an exempt agency, and all training provided by this organization counts toward ongoing training requirements. If you are unsure whether training is on the approved list, you may email the training title along with the trainer’s or organization’s name to Ms. Owen, who can verify approval and provide guidance. Training certificates must accompany the ongoing training log. Without training certificates, training hours cannot be verified. Forms: Please ensure that parents complete all sections of required forms, including dates and signatures. Forms with missing information are considered invalid. We discussed a TB and medical for G. McCall was dated 3/23/23, she was hired on 3/22/23. These violations were not cited on the previous visit. When new employees begin work, it is important to be sure that they provide documentation to show that they are free from active tuberculosis (TB) to keep children safe. The results indicating the individual is free of active TB shall be obtained within the 12 months prior to the date of employment. We discussed that new staff must have verification from a health care professional that they are physical and emotionally fit to care for children to create a safe and healthy environment prior to the start of employment. 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 kaoru.eddins@dhhs.nc.gov or 828-556-9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: 0524-254L Visit Date: 5/21/2024 Number Present: 22 Completed Date: 5/21/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements regarding supervision. I reviewed the allegation with you, and you were given an opportunity to respond to each concern. The Complaint was received on 5/17/24 by S. Grant. I received it on 5/17/24. The report alleges the children were not being supervised. Limited monitoring of child care requirements were conducted today. There was twenty-two (22) children between the ages of three to five-year-olds and five (5) teachers. Upon arrival I met with Misty Barnes, Administrator. We discussed the complaint and discussed you had viewed videos last week. Ms. Barnes explained around 10:40 am on Wednesday, May 15th, they had an incident with supervision of a child. One teacher, A.B., was pulling children into the classroom for some small group time while the other teacher ,Z.S., was on the playground. As the children on the playground needed to use the potty, they were sent inside to A.B. who was in the classroom. When finished with her activities inside, she went to the restroom. She did not tell Z.S. that she was going to the restroom, therefore she wasn't aware A.B. was no longer in the classroom. Z.S. sent a student inside to use the restroom. Once the child entered the classroom, and there was not a teacher present, he went out into the hallway and into the next room over. When A.B. returned from the restroom, she set the table for lunch before returning to the playground. When A.B. returned to the playground, without the student, the four (4) teachers realized that the student wasn't accounted for. This is when the pastor of the church came to the door with the student. He had noticed him in a room reading a book and brought him out to the teachers on the playground. A.B. then called and notified the administration, who called and let the parents know what happened. This is a self report. All staff took Active Supervisions training by Karen Darby. They have order alarms for the doors leading out and into the church classrooms. You talked to teachers about proper zoning on the playground. You discussed there will be no sitting on the playground and new face count sheets. This portion of the complaint is substantiated. Today when I arrived classrooms one (1) and two (2) were on the playground. All the children were participating in gross motor play. Teachers were actively engaged with the group of three (3) and five (5) year olds. The five (5) teachers were moving around the playground and engaging with children. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child walked into a classroom from the playground to go to the bathroom. The teacher that was in the classroom left the room without telling the outside teachers. The outside teacher did not look in classroom before letting the five (5) year old in to go to the classroom. The five (5) year old wandered through the room and out into the hall to the other classroom. The child was gone seven (7) minutes, before the preacher brought him outside to the playground at the same time the teachers realized he was missing. .1801(a)(1-5) Technical assistance; Supervision Item 303-Children were not adequately supervised at all times. Note: One child walked into a classroom from the playground to go to the bathroom. The teacher that was in the classroom left the room without telling the outside teachers. The outside teacher did not look in classroom before letting the five (5) year old in to go to the classroom. The five (5) year old wandered through the room and out into the hall to the other classroom. The child was gone seven (7) minutes, before the preacher brought him outside to the playground at the same time the teachers realized he was missing. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. 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. Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: 0524-254L Visit Date: 5/21/2024 Number Present: 22 Completed Date: 5/21/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements regarding supervision. I reviewed the allegation with you, and you were given an opportunity to respond to each concern. The Complaint was received on 5/17/24 by S. Grant. I received it on 5/17/24. The report alleges the children were not being supervised. Limited monitoring of child care requirements were conducted today. There was twenty-two (22) children between the ages of three to five-year-olds and five (5) teachers. Upon arrival I met with Misty Barnes, Administrator. We discussed the complaint and discussed you had viewed videos last week. Ms. Barnes explained around 10:40 am on Wednesday, May 15th, they had an incident with supervision of a child. One teacher, A.B., was pulling children into the classroom for some small group time while the other teacher ,Z.S., was on the playground. As the children on the playground needed to use the potty, they were sent inside to A.B. who was in the classroom. When finished with her activities inside, she went to the restroom. She did not tell Z.S. that she was going to the restroom, therefore she wasn't aware A.B. was no longer in the classroom. Z.S. sent a student inside to use the restroom. Once the child entered the classroom, and there was not a teacher present, he went out into the hallway and into the next room over. When A.B. returned from the restroom, she set the table for lunch before returning to the playground. When A.B. returned to the playground, without the student, the four (4) teachers realized that the student wasn't accounted for. This is when the pastor of the church came to the door with the student. He had noticed him in a room reading a book and brought him out to the teachers on the playground. A.B. then called and notified the administration, who called and let the parents know what happened. This is a self report. All staff took Active Supervisions training by Karen Darby. They have order alarms for the doors leading out and into the church classrooms. You talked to teachers about proper zoning on the playground. You discussed there will be no sitting on the playground and new face count sheets. This portion of the complaint is substantiated. Today when I arrived classrooms one (1) and two (2) were on the playground. All the children were participating in gross motor play. Teachers were actively engaged with the group of three (3) and five (5) year olds. The five (5) teachers were moving around the playground and engaging with children. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One child walked into a classroom from the playground to go to the bathroom. The teacher that was in the classroom left the room without telling the outside teachers. The outside teacher did not look in classroom before letting the five (5) year old in to go to the classroom. The five (5) year old wandered through the room and out into the hall to the other classroom. The child was gone seven (7) minutes, before the preacher brought him outside to the playground at the same time the teachers realized he was missing. .1801(a)(1-5) Technical assistance; Supervision Item 303-Children were not adequately supervised at all times. Note: One child walked into a classroom from the playground to go to the bathroom. The teacher that was in the classroom left the room without telling the outside teachers. The outside teacher did not look in classroom before letting the five (5) year old in to go to the classroom. The five (5) year old wandered through the room and out into the hall to the other classroom. The child was gone seven (7) minutes, before the preacher brought him outside to the playground at the same time the teachers realized he was missing. According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. 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. Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HCCDC AT INCARNATION Facility ID: 56000190 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 23 Completed Date: 1/31/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Misty Barnes, administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. Barnes accompanied me. 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. Permit type – Five Star 8/7/23 Special Services/Restrictions – Daytime Care only, Children in care on ground level only: No cooking allowed; Meets enhanced space; Meets reduced staff/child. The last annual compliance visit was conducted on 6/21/23. The last fire drill was practiced on 12/21/23. The last shelter-in-place drill was practiced on 11/14/23. The last playground inspection was documented on 1/22/23. The last fire inspection was approved on 1/12/23. The last sanitation inspection was conducted on 10/4/23 with zero (0) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is creative curriculum. Upon arrival I introduced my presence to the Administrator. I observed the group with four- to five-year-old children engaged in music and movement. The group of three to four-year old children were doing movement and music. 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 following violations were documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection has expired. The date of the current fire inspection was 1/12/23. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. .0510(d)(2)(A-C) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two (2) there were three outlet covers missing in plugs. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. M.B. and S.B. did not Health and Safety Training within the first year of employment. .1103(b) Technical assistance was provided as follows: Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: In space two (2) there were three outlet covers missing in plugs. This was corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Screen time not used to for a domain. Item 524-When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Note: Mauna was being viewed and was not on a screen time log nor was it on the lesson plan with a domain. According to 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: ( A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section. (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. According to 10A NCAC 09 .0510 ACTIVITY AREAS (f) Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. Item 0106- Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Note: The fire inspection has expired. The date of the current fire inspection was 1/12/23. 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. Health and Safety Training Item 1899-Staff did not complete the health and safety training within one year of employment Note: M.B. and S.B. did not Health and Safety Training within the first year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney Mccrory !72 Streamwood Circle Waynesville Nc 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 you will be getting new features on the playground. We discussed making sure screen time logs are used when educational based shows are being seen. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times